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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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