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Re: adhesion prevention

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Sun, 19 Apr 1998 14:08:06 -0500 (CDT)


At Thu, 16 Apr 1998, Lea wrote: >
>I read the transcript regarding adhesions and INTERCEED, I have one
>question: Is INTERCEED used only for abdominal surgery or can it be used
>with laparoscopic surgeries? I have had 3 laps in the past 6 years and
>within 3-4 months after each I developed problematic adhesions. 6 weeks
>ago I had an LAVH and the concern about adhesions is weighing heavily on
>my mind. I have followed my doctor's orders to the letter regarding my
>recovery period, however, with 2 RN's in the family I have gotten 2
>points of view as far as adhesion prevention on my part. One says light
>activities and exercises (gentle strectches, etc.) will prevent them,
>the other says that it doesn't matter what I do or don't do I will
>either have them or not. I see my doctor on Monday (20th) for my 6 week
>check-up and I plan to ask him if anything was used to prevent adhesions
>from forming but I would like to have a bit more information/opinion
>from the experts here. By the way, my recovery has been a breeze, I am
>finally pain free and feel like I've been reborn!!! I had a very
>positive attitude about this surgery, I was even looking forward to it,
>and I am sure that helped with my recovery.
>
>--
>Lea Hoffman

Lea: Perhaps with the uterus now gone ( and ?? ovaries) your battle with recurrent painfull adhesion problems are over!! In the event that you do however have to deal with them again, if the laparoscopy indicates again recurrent adhesive disease, and they are successfully lysed, would consider a second lap 1 week later in order to remove them while they are fragile and "young'. Have taken this unconventional approach on a few occasions with excellent long term results!

Dr.B >




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