Re: Adhesions & post- Laparoscopic complications

Mon Apr 24 13:20:48 2000

Oh believe me, I know all of that; I was just responding to the "" person that wrote the e-mail regarding questionable techniques by some individuals, and I think that everyone is getting me mixed up with what that person said. If you go back and read that person's message pertaining to "Laparoscopic surgery" THEN read mine, you will see that I was asking that person to expound on what it is they are really saying because I feel like I am missing something. You forget that I am one of Dr. Reich's biggest fans because of what he did for Bev and all the others. I KNOW his is the best of the best (I call him "Hollywood Reich" but HE doesn't know it!!), and if I had my choice (and money) I would go to him first but I will be seeing his partner, Dr. Redan, in PA (it is cheaper when you have to pay); so you see, everyone is misunderstanding what I was asking "Anonymous" so "Anonymous", please do me a favor and answer the things I asked of you so my friends in here will understand what went on in our e-mails okay? THANX!!

-----Original Message----- > From: Karla Nygren []
> Sent: Monday, April 24, 2000 11:23 AM
> To: Multiple recipients of list ADHESIONS
> Subject: Re: Adhesions & post- Laparoscopic complications
> Laura,
> I think many of us have been told that we should never, ever have surgery
> being one of them. Unfortunately, not all of us that
> option. The physician that I believe you are going to see is very
> skilled in laprascopy....and if he felt he could not handle your case he
> would not do it. He certainly would back out if he felt that he could
> not handle it....but, those are questions that you can ask him when you
> have your consultation. If it were me, I would address these issues with
> the doctors that are to be involved in your case and speak with some of
> their patients. I think individuals on this list can provide you with
> the names of people that have gone through the procedure....some of them
> very severe.
> God Bless You,
> Karla N.

>> ----- Original Message -----
> From: <>
> To: Multiple recipients of list ADHESIONS
> <>
> Sent: Monday, April 24, 2000 9:18 AM
> Subject: RE: Adhesions & post- Laparoscopic complications
> Are you saying that the more extensive the adhesions, the worst
> chance for the patient's survival or injury? I need to know that because
> I am planning to see a "professional" that is the pioneer of a procedure
> that will almost surely end the suffering of our people. I have been
> told on numerous occasions, after surgery, that I should NEVER have
> surgery again, unless it is life-threatening because my abdomen is like
> cement and very sticky. I need to have a response from you soon
> regarding this because I am planning to call and schedule a consultation.
> -----Original Message-----
> From: []
> Sent: Sunday, April 23, 2000 7:12 PM
> To: Multiple recipients of list ADHESIONS
> Subject: Adhesions & post- Laparoscopic complications
> Hi,
> I just wanted to put out a word of general caution. There are
> times
> that lap surgery of any type is appropriate for adhesion lysis.
> There
> are certain individuals that due to the severity of their adhesions
> should not be subjected to laparoscopic surgery...especially if that
> laprascopist's experience is limited to a typical gyn practice.
> There
> are lap docs who confine their surgery to scope surgery only. I am
> saying that a gyn could not do the surgery. What I am trying to
> get
> across is there are cases of severe adhesions that first of all
> surgery
> will not help...that will actually produce more adhesions. The
> hard
> evidence I've seen states that: Laparoscopic surgery is associated
> with
> a lower incidence of wound adhesion. It is not associated with a
> lower
> incidence of actual internal abdominal adhesions. If you have
> severe
> dense adhesions you really need to weight the potential risks.
> There
> are serious complications associated with this type of surgery.
> Most
> physicians and patients have an attitude that after the surgery is
> over
> and they are 7 or more days post-op, "hey, no problem". They don't
> relate symptoms that crop up to the surgery. This can be really
> bad
> news. People have not survived due to this attitude. If you are
> even
> 14 days post op and you begin feeling a bit ill, have a fever,
> nausea,
> vague abdominal pain, dehydration, or other symptoms you need to
> rule
> out the possibility of post op complication. This means it must be
> diagnosed and ruled not to be associated with surgery. There is a
> gentleman who almost died one year after an apendectomy...the area
> walled off and formed an abcess which later burst. Complications
> can
> include perforated bowel or other organs, infection, bleeding, etc.
> You
> may have symptoms of a "PID" and the doc will say it was because you
> are
> not clean or due to sex...etc. That it was caused by bacteria
> entering
> the vagina and traveling up as far as the tubes...reality is that it
> can
> be caused from the inside can be caused by surgical
> contamination. Many times the scope will keep fogging up...I know
> of
> someone who became ill after a microscopic piece of fiber somehow
> became
> inbedded (?) in the bowel wall and became infected. There are
> really
> more cases out there than previously believed. The real "Experts"
> know
> about these cases. They know how many scope surgeries have been
> converted to open procedures...
> I just feel that a woman or man, as it affects them too,
> should be fully
> aprised of their particular case and the benefits vs risks of a
> particular type of surgery along with a realistic discussion of the
> potential complications.
> A for instance. The risk of perforated bowel, infection,
> or bleeding
> from a scope surgery is fairly low. They happen but the risk is
> fairly
> low...generally speaking. If you have severe, dense, adhesions
> that
> obliterate (make it so the surgeon cannot identify planes)then you
> do
> not fall in that generally speaking category. Of course this can
> be
> dependant upon where the adhesions are located, which ones the
> surgeons
> attempt to lyse, what type of instruments, cautery devices, or
> lasers
> they choose to use, and laparoscopic skill...Calling oneself an
> expert
> is oftentimes subjective. The surgeon may have only two years
> experience, he does 10 tubal ligations with a scope on virgin
> abdomens
> per week, and a few other scope surgeries...this does not an expert
> make...there are actual levels of competancy...Level one, level two,
> etc. Your idea of an expert may be 8 years or more experience and
> his
> may be one or two courses and a couple scope surgeries per week. I
> am
> NOT out to bash doctors...I have doctors too...I am out to hopefully
> educate women...I have huge amounts of info...and "inside" info that
> women and men must be aware of before undergoing lap surgery. I've
> heard all the pros and cons and then some...
> Anyway, if you have a complicated belly then the risk goes
> up for you
> and is directly related to how complicated your belly is. The
> complications are life and death situations that generally are not
> caught at the time of surgery. If you are two weeks post-op you
> and the
> surgeon may not be looking at the possibility of surgical
> complications
> thus placing you in jepardy. Also remember that you may or may not
> have
> temporary relief...For me personally, unless I had a bowel
> obstruction,
> stricture, etc. then I cannot subject myself to any more. There
> are
> advantages to open procedures too. It's just hard to judge.
> I feel it is ever so important that post-scope patients be
> given at
> discharge a list of potential symptoms of post-op
> complications...not
> just the standard or typical post-op instructions but ones that are
> specifically written for that specialized type of surgery. It
> would
> also be helpful if your doctor discussed with you precisely what he
> did
> in there...did he have a tough time with anything in particular, was
> the
> surgery difficult or easy? Did he at any time think he should back
> out?
> I've heard the positive outcomes but I also know of the
> potential
> complications...
> Just be careful...really check it out...I don't want any of
> you sustaing
> serious damages.

This e-mail message may contain legally privileged and/or confidential information. If you are not the intended recipient(s), or the employee or agent responsible for delivery of this message to the intended recipient(s), you are hereby notified that any dissemination, distribution or copying of this e-mail message is strictly prohibited. If you have received this message in error, please immediately notify the sender and delete this e-mail message from your computer.

Enter keywords:
Returns per screen: Require all keywords: