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Re: Going for Laparoscopy 7-17

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Thu, 9 Jul 1998 20:32:32 -0500 (CDT)


At Thu, 9 Jul 1998, jessica wrote: >
>I'm just 28 this week and have a 3 year old daughter. (c-section) After
>she was about 1 1/2 I began having terrible pain just below the right
>side of my belly button. I saw my Doc and his associate on several
>occasions. First it was possibly adhesions then a periumbilical hernia.
>I was scheduled to see the surgeon to confirm the hernia diagnosis
>however I never did because I was told that if I was planning on having
>another child that the repairs would not last and I would most likely
>need surgery again.
>The months went on and I stopped taking BC pills in Aug of 97. My
>period has finally the last two months been 28 days but I have come to
>the conclusion that the pain I was experiencing now only came within 12
>hous of my period and got worse as I menstruated. I returned to my
>doctor and just am getting over my most recent period. I have not
>concieved in almost a year, I have charted CM and BBT with no luck.
>Between the abdominal pain and infetility and sometime pain with
>intercourse my doc scheduled the laparoscopy. I guess I have a few
>questions. First, Should any other medical tests ie: ultrasound, x-rays
>be done before this diagnostic surgery? My primary concern is that the
>pain I do feel seems well, surfacy and is so close to where the scope
>will be inserted is there chance of some kind of rupture and/or not
>being able to see this (endo,adhesions etc.) if it is in the stomach
>lining/wall?
>In reading I have found that endo can be anywhere, has anyone reading or
>any of you doctors seen anything close to my situation?
>

Those concerns re: proximity of other structures are real possibilities. Suggest you ask your doc about these concerns, and what can be done to minimize these risks.( "open" laparoscopy) I have seen on more than one occasion endometriosis in the incisional scar.

Dr.B >
>--
>Jessica E. Loiacono
>




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