Physicians' comments about adhesions

From: Helen Dynda (olddad66@runestone.net)
Sat Oct 14 01:00:08 2000


"Abdominal adhesions ( scarring ) can occur within the abdomen in response to surgery or chronic inflammation."

"Adhesions can make subsequent surgeries more difficult to perform and more dangerous. May cause chronic pain and intestinal obstruction. In women adhesions can lead to infertility."

"There is a way to prevent this problem. Your doctor needs to be shown the clinical data for an adhesion prevention product that has been shown to reduce the incidence of post-operative adhesions. For more information go to: http://www.adhesions.com/patient.html. This data is powerful. If the surgeon does not want to advance his/her knowledge, then find one who will be sympathic."

J. Glenn Bradley, MD: "Adhesions begin forming within an hour of surgery; once you have them, they do not disappear unless surgically removed. Barriers are substances that hopefully reduce their occurrence ( most work only so so ). If symptomatic you have 2 choices - live with the disability or have a surgical procedure to remove them and hope they do not recur. The least invasive technique will usually have the lesser chance of causing more extensive adhesions."

William D. McIntosh, MD: "Conscious pain mapping can be performed a couple of different ways, but the best, and most common, is to perform a mini-laparoscopy under local anesthesia with or without conscious sedation. Rather than a laparoscope that is 10mm ( roughly 1/2 inch ) in diameter, as would be used in normal laparoscopy, a 2-3mm scope is used. The small scope allows for the patient to be awake, because it is not as painful as the full sized scope. The surgeon can then visualize various areas of the pelvis and abdomen, and can go so far as to touch something, such as an implant of endometriosis, and ask the patient if that is where the pain is.

"This technique is much more useful in women that have localized pain. Since you ( the surgeon ) are reaching out and touching specific places...diffusely distributed pain is much harder to evaluate in this manner."

James Connerth, MD: "Abdomino-pelvic peritonitis is quite frequently the result of an inflammatory process and body's attempt to wall-off and isolate infection."


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