The following chat transcript courtesy of obgyn.net
Prior Chat Transcripts
Prevention of Post-Surgical Adhesions
David Wiseman, PhD
Wednesday, April 28, 1999
Drwiseman "Hi everyone: who wants to kick off?"
Drwiseman "Hi Peggy: do I know you?"
Peggyk "I was on last chat and I also e-mailed
Drwiseman "OK well do you have some new questions?"
Peggyk "Not right at the moment. I am going in
for a 2nd laparoscopy tomorrow"
Peggyk "I had the 1st 1 done last Oct."
Janp "Peggy how long ago did you have your first
Drwiseman "So do you want to tell us about it?"
Janp "Dr. Is it common to have 2 laparoscopies
so close together?"
Peggyk "I asked the Dr. about adhesion barriers
and he told me that he does use them if possible."
Peggyk "He told me that there was such an excessive
amount the last time that he could not use it on me."
Drwiseman "Peggy: why are you needing this operation?
Are the problems recurring?"
Peggyk "Yes they are."
Drwiseman "What kind of problems: what was the
first operation for?"
Peggyk "I was pain free for about 8 weeks after
the 1st time"
Drwiseman "What did they do the first time? Cut
adhesions or something else?"
Peggyk "I had a hysterectomy in April of 98"
Peggyk "and then I ended up with extensive adhesions."
Drwiseman "An excessive amount of what?"
Drwiseman "Do you have bowel obstruction?"
Drwiseman "Just pain?"
Peggyk "Yes, Ii have a lot of pain on my left
side and lower abdomen."
Drwiseman "So now he will try to cut some adhesions
and try to use an adhesion barrier?"
Peggyk "Yes that is what he is telling me."
Janp "What is an adhesion barrier?"
Drwiseman "Well there is little more to say.
Hysterectomy can result in adhesions and give these
kind of problems."
Drwiseman "An adhesion barrier is a device used
by surgeons to prevent or reduce the formation or reformation
Drwiseman "There are two which are on the market:
INTERCEED and SEPRAFILM. The surgeon places them over
the place where surgery has been done to stop it from
sticking to other organs."
Peggyk "Well after I had the hysterectomy I ended
up with an infection so I know that the infection was
a big cause of the adhesions."
Drwiseman "Peggy: you are right infection is
a major contributor to adhesions."
Drwiseman "Is there infection now or has it cleared
Peggyk "It has cleared up."
Drwiseman "JanP: would you like to ask some questions,
perhaps tell us a little about yourself?"
Janp "Dr. Wiseman I had a laparoscopy in December
and now I am starting to feel as bad as I did before
the surgery, Could my endo be returning?"
Lea_h "Hello Dr. Wiseman and Jan"
Drwiseman "It could be, the symptoms are the
Drwiseman "Hi Leah: have we met before?"
Lea_h "Yes we've met, I'm the cpp coordinator"
Drwiseman "Obviously this is something for your
doctor to check out - I can't take it much further
here. Is there a problem with adhesions?"
Drwiseman "Leah: OK I think you emailed me recently."
Janp "I'm not sure."
Lea_h "Yes I did, about your new site"
Lea_h "I figured I would pop in here and see
how things were going."
Drwiseman "Well thanks for dropping by. What
do you think of our web site and adhesions forum? Has
anyone used it yet?"
Lea_h "I checked in a few days ago and there
were a few people using it, some names I recognized
Lea_h "The overall site is very good lots of
Peggyk "Where is this site?"
Lea_h "Geeze, I'm feeling like an amateur chatter-been
a long time"
take a look"
Peggyk "Thank you, I will."
Drwiseman "Ok let's get back to adhesions: what
other questions and comments do y'all have?"
Lea_h "I have one - I've been adhesion free for
Drwiseman "Great - what's your question?"
Lea_h "No question - just had a comment LOL"
Lea_h "laughing out loud"
Drwiseman "So what did you do right?"
Peggyk "I will ask the same question that janp
asked. Is it common to have 2 laparoscopies so close
together? The 1st one was just about 6 monthsweeks
Lea_h "Well, for one thing, my doctor was very
careful when removing the adhesions I had, I can't
remember what preventative he used but whatever it
was it worked. I took my time recovering and didn't
jump right back in."
Peggyk "How long did you take to recover?"
Lea_h "I took a full 6 weeks before doing easy
stuff - full recovery took about 6 months (I had a
Drwiseman "Thanks for that: I was just checking
my memory. 6 months is not an uncommon time to have
a second look done. It depends on the reason. With
obstruction due to adhesions, I think up to 25% of
the cases occur within 1 year."
Peggyk "When I had my 1st laparoscopy I only
took it easy for about 2 weeks."
Lea_h "I can vouch for that - I was in the Lap
every 6 months club for a couple years."
Peggyk "And I was hoping that this would be it."
Lea_h "Think positive Peggy, maybe it will be."
Peggyk "It is so discouraging though."
Amylynn "Good Evening everyone!"
Lea_h "Yes, Peggy, it can be. One thing I did
differently this time that I think helped was to move
around often - though slowly and gently."
Lea_h "Hello Amylynn"
Peggyk "You think that this is it and then you're
right back to where you were before, it really does
Drwiseman "Hello Amylynn"
Lea_h "Even now - I spend 5-11 hours a day at
my computer and if I don't get up now and then and
stretch it feels like things inside are sticking together."
Drwiseman "5-11 hours are a long time to spend
at the computer for everyone. You should take a stretch
every now and then."
Drwiseman "Amylynn: do you have any questions?"
Amylynn "I have a question. Does anyone know
how long a laparoscopy should help ease the symptoms
of PCO and endo? I had mine in September and my Re
says that maybe everything is starting to get back
to the way it was before. I have been in more pain
lately than I have since I had the lap."
Lea_h "Yes, I know - sometimes I get so deeply
involved in what I'm doing that I forget to move -
I even have a blink reminder"
Amylynn "Gee, I wish I had this many people show
up for the PCO chats, this is nice to see so many people
Lea_h "Hello Barbaran"
Barbaran "Hi Everyone"
Drwiseman "Amylynn: sometimes laparoscopy can
completely ease the symptoms of PCO or endo. Sometimes
it does not?"
Drwiseman "Welcome Barbara!!"
Peggyk "HI Barbaran"
Barbaran "Hello David. I'm off in the am for
CT to attend the Symposium on CPP. We will be doing
lots of video interviews and will have them on OBGYN.net"
Amylynn "I guess I am just really upset that
things are getting back to the way they were before.
I don't have any children yet and I want to do everything
I can to ease all of the symptoms that I have. I don't
want him to do another lap if it is just going to cause
Drwiseman "While you're there perhaps you can
put in a plug for http://www.obgyn.net/adhesions.asp"
Drwiseman "Amylynn: I think I can understand
that, I'm sure the others will."
Lea_h "Absolutely Amy, it's hard to keep going
Peggyk "I have to go it was nice chatting with
everyone hope to catch you all next month. Good night!"
Lea_h "Good night Peggy and good luck!"
Drwiseman "Thanks for joining in."
Peggyk "Thanks to all of you."
Amylynn "Well, I have one more question. Ladies,
have any of you taken Fertinex? What can I expect."
Lea_h "Not me Amylynn."
Lea_h "Hello guest"
Drwiseman "We have a few more minutes. Would
anyone else like to ask a question?"
Drwiseman "What is it for?"
Guest6 "Yes, since I came in so late, I was just
wondering if you have any news concerning when the
Intergel is due out."
Guest6 "Sorry if you already have answered, Dr.
Drwiseman "Intergel: is already out in Europe.
It may be out in the US by the end of the year, depending
on the FDA"
Guest6 "Ok, thank you."
Drwiseman "Any other questions?"
Amylynn "Dr Wiseman, thanks for your comments!"
Lea_h "It was good chatting with you Dr. Wiseman"
Amylynn "Good night Everyone!"
Barbaran "Good night and thank you Dr. Wiseman."
Drwiseman "Thanks once again: I'm going to put
the kids to bed. Goodnight"
DISCLAIMER: Please note that all information
provided on this web site, or in response to any communication
with the International Adhesions Society, is not intended
nor is implied to constitute professional medical advice
nor does it substitute for professional medical advice.
Always seek the advice of your physician or other qualified
health provider prior to starting any new treatment
or regarding a medical condition or its current treatment.