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Re: Is surgery to remove adhesions justifiable surgery?From: J.Glenn Bradley MD (anonymous@obgyn.net)Tue, 30 Jun 1998 19:26:24 -0500 (CDT)
At Mon, 29 Jun 1998, Helen wrote: > >I had a diagnostic laparotomy 11 months ago which revealed massive >adhesions between the omentum and the abdominal wall (after a laparotomy >many years earlier). No adhesion-barrier was used. After surgery, I >experienced several days of feeling really good and like myself again. >BUT then I started feeling pain again...which I am sure is the result of >adhesions reforming. I have seen an internist at the Mayo Clinic, who >said that he did not feel that this was an adequate surgical reason for >doing another laparoscopic adhesiolysis. And yet I am in pain >everyday...all day! My question is, " When adhesions reform after a >diagnostic laparoscopy has been done, is there any medical reason why a >person cannot have a repeat laparoscopy to try to eliminate them with >the use of an adhesion-barrier? I was told that I would have to have >some other medical problem that required surgery...that surgery could >not be done for adhesions alone...that this would be unjustified >surgery. I find this hard to believe since I know that >adhesion-barriers are available and that second-look laparoscopy is also >a possibilty. I hope that you will be able to help me make a decision >as to my next possible step. Or do I just accept the advice of the one >internist? Helen; Do see another Gyn with experience in treating adhesive disease. PLEASE read my current post on obgyn.net re: adhesions ("Banter with Dr.B'). Dr.B
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