>formed there. I hope I helped you a little. ----- Original Message -----
From: "clare" <csheedy@netcom.ca>
To: "Multiple recipients of list ADHESIONS"
<adhesions@mail.medispecialty.com>
Sent: Thursday, March 28, 2002 4:30 PM
Subject: Do some adhesions not cause pain??
> Hi:
>
> Under this post is a post I sent a week ago, explaining what my surgeon
> did/saw at diagnostic laparoscopy. Well, I saw him this morning, and
> now I'm way more confused than I was before I saw him.
>
> He said that he lysed the one area of adhesions, removed what endo he
> could, and cut the ligaments as he believed these things may be the
> cause of my pain. When I asked him about the ascending colon adhesions,
> he said that in his experience, adhesions there do not cause pain, and
> that they were not very thick.
>
> He gave me a perscription for a bowel anti-spasmatic, is referring me to
> a gastro (in case it's IBS-again??) and he says that if that doesn't
> help he'll consider doing a pain mapping laparoscopy. He says that here
> in Canada he's never heard of anyone having much luck with any of the
> pain clinics, and that they don't want to take chronic pelvic pain
> patients anyway.
>
> I wonder if you can all see my head spinning around as I sit here?? Has
> anyone ever had adhesions in the ascending colon, and if so, were they a
> cause of pain?? Sally, what were you doing for pain management before
> you went on the oxy?? I appreciate any help at all. I'm really at my
> wits end, and I'm very frustrated and discouraged.
>
> At Wed, 20 Mar 2002, clare wrote:
> >
> >Hi All:
> >
> >I had a diagnostic laparoscopy on March 6, and I got the operative
> >report today (but the pathology isn't in yet).
> >It's very long, but in a nutshell this is what it says. There was some
> >endo on the left uterosacral ligament with hemorrhage and retraction
> >around it and another small spot of endo in the cul-de-sac just below
> >that ligament. The area below the ligament was cauterized. The
> >ligament was biopsied in the area of endo, and the area of endo under
> >the ligament was also biopsied. So far so good, but then my surgeon
> >writes "but I was unable to establish an adequate angle in the area and
> >could not grasp the peritoneum". I'm not sure what that means. The
> >uterosacral ligaments were then cut. The left one oozed and was
> >cauterized. The biopsy site also oozed slightly and was cauterized.
> >After irrigation no more bleeding was seen.
> >
> >There was an adhesion along most of the length of the right tube (I had
> >the ovary removed - different surgery), which was binding the tube down
> >to the underlying fossa. It was lyzed bluntly with a probe. He
> >observes "adhesions between the proximal ascending colon and the lateral
> >peritoneal side wall." Nothing was attempted here. He and I had an
> >agreement that he would not convert to a laparotomy under any
> >circumstances.
> >
> >Whew, that was a lot longer than I intended it to be! Okay, so I figure
> >that most of my pain comes from the colon adhesions, but if anyone can
> >explain to me exactly (or even remotely) what this means I'd appreciate
> >it. I got this info from my PC, and I don't see the surgeon until late
> >next week. After the diag lap I felt just sore for a few days, but the
> >tugging etc. was back one week to the day!
> >
> >For those of you who are new to this site, I'd like you to know that for
> >me, nothing has changed so far.
> >
> >Wishing you all painfree moments, hours and days...
> >
> >--
> >Clare
> >
> >--
> >csheedy
> >
>
> --
> csheedy
>