Re: Adhesions Question

From: cathy:- (anonymous@medispecialty.com)
Wed Jan 23 10:11:49 2002


It is certainly possible if your body is an aggressive former of adhesions that you could go from "insignificant" adhesions to looking like an explosion at the glue factory and have it all happen in just 2 weeks. Especially if surgeon #1 used poor surgical techniques. What the 2nd surgeon should have seen, though, is that if virtually all of the adhesions that he had to hack through were only 2 weeks old they should have been pretty soft, and not had a lot of blood supply. Adhesion formation ends by about 7 days post-op, but the adhesional process continues and the body lays down collegen, blood vessels and sometimes nerve endings inside the adhesional scar tissue. If those were new adhesions then the 2nd surgeon could have indeed seen a whole lot of them and they could have been a real complication of your surgery, but they should have had the distinctive texture of new adhesions rather than old adhesions.

Can you talk to the surgeon? Or do you just have the post-op report? Was your surgery a few days ago or a few months ago? If you can contact surgeon #2 then you can ask -- "Did those look like old adhesions or 2-week-old adhesions?" If it was recent enough then the surgeon might remember...

cathy :-)

At Tue, 22 Jan 2002, Caroline Abinsay wrote: >
>Hello. I just came across this website, and have been following it for
>a couple of days. I wanted to ask somene, anyone if they think that a
>signifcant amount of adhesions can form in as little as 14 days. Here
>is the scenario... I went for Laparoscopy performed by my regular
>GYN..On the operative report it states that "there were no significant
>adhesions" but moderate endometriosis. well the Doctor gave me bad news
>that I wont go into for now, but was required to under go TAH/BSO 13
>days later. On that operative report (performed by GYN/ONC) it states
>that "there were adhesions present from omentum to anterior abdomimal
>wall" and also stated that there were "exstensive adhesions on the
>sigmiod to the left..." it also says the sugeon spent 45 minutes of
>operating time to get rid of adhesions. I am wondering if anyone thinks
>that it is conceivable for "extensive adhesions" to form so quickly, or
>the 1st Doctor didnt know what he was looking at.
>Thank You
>Caroline Abinsay


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