WOMENS-HEALTH Messages for September, 1999: Re: Accidental cutting of Epigastric artery

Re: Accidental cutting of Epigastric artery

From: William D. McIntosh, MD (anonymous@obgyn.net)
Tue, 21 Sep 1999 14:33:52 -0500 (CDT)

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In reply to: Caroline: "Accidental cutting of Epigastric artery"

At Tue, 21 Sep 1999, Caroline wrote: >
>I recently (17th Sept) went in for a 15 min exploratory laparoscopy to
>check out a small cyst. Unfortunately during the procedure my
>epigastric artery was cut and retracted into the muscle. By the time
>the artery had been located and mended I had lost a lot of blood, my HB
>fell to 5 and I was becoming hypothermic with very low blood pressure.
>There was concern as to my well being. I have now been discharged and
>have been told that it was like having a c-section (without of course
>the preganacy or baby!). Having been under the impression that i would
>be back at work within two days I am now told to stay off for two weeks
>and told to take it easy but feel that it is hard to get hold of
>information on what i can /cannot do (I am generally very fit and want
>to get up etc). Do you have any suggestions as to internet resources or
>general guidelines. I am on percoset and will return to GYN this week
>to get sutures removed but have conflicting advise on how much activity
>is safe?

In general, you can do anything that doesn't hurt, though you should avoid lifting anything that weighs more than 20# or so, and aerobic exercise is going to be difficult given your low hemoglobin levels, and should be undertaken with extreme caution until your blood is built back up. There is no reason to be confined to bed, as long as you are not dizzy when you stand (which your doctor needs to know about by the way), nor even to the house, as long as you take it easy, and have someone to help you if you get too tired, which you almost certainly will.

-- William D. McIntosh, MD, FACOG Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

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