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diagnostic laparascopy for abdominal adhesions?From: arti (anonymous@obgyn.net)Fri, 8 Oct 1999 19:04:26 -0500 (CDT)
My mother is a 56-year old Asian woman. She had a total abdominal hysterectomy in India about 30 years ago. In 1985, she had a pelvic laparatomy with lysis of adhesions in North Carolina. The records from that procedure show that there was evidence of reperitonealization using the sigmoid colon from the previous hysterectomy done in India. There were some dense adhesions which were divided and a small ovarian cyst was cauterized. She started having severe chronic abdominal pain about 9 years ago. She is considering laparoscopy because all her tests (trans-vaginal ultrasound, Upper GI, Middle GI, Barium enema, CT scan) have tested negative. She couldn't have a colonoscopy because of too much pain on insertion. Her gastroenterologist has also asked her to take a mesentin angiogram. Her questions are: 1. What is a mesentin angiogram? 2. Has anybody used any alternative approaches for pain management and alleviation and has it been useful? She has a lot of facial pain at the time of abdominal pain and continuous strong tinnitus which increases at the time of abdominal pain. Abdominal pain increases 10-15 minutes after eating, and in the middle of the night or early morning. Pain is more after eating. She also has a heavy feeling of fullness after eating. She is also frequently constipated. Her main concern is to choose between alternative care and surgery at this time. Any other words of advice are welcome.
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