- Re: 2nd HSG results - HUGE support needed

[Guest guest]

((((CYN)))))

sucky sucky sucky sucky. I'm really really sorry you are having to

deal with this and go through this all again. I wish I had some

magic words to make it better, but I don't. There's no making it

better--It just sucks. You will have to go through another surgery

and recovery.

> What I don't understand is this: he removed something from

me at the

> surgery in November, right? He actually physically removed

something

> and held it in his hands, right? Couldn't he see that it was not

> enough of the 6cm septum???

said something about this, but I wanted to chime in as

well. They do not take anything out of you in a resection. You

could think of it like this. Picture your uterus as a blown-up

balloon, lying on it's side. The fundus is the rounded part

opposite the opening of the balloon (the cervix). If you have a

septum, the balloon has a wall of rubber that runs in the inside

from the fundus to the cervix. When the surgeon goes in, he

goes in through the cervix. Then he takes scissors and cuts the

rubber wall septum in the middle, starting at the part near the

cervix and moving up toward the fundus. The top part of the cut

septum snaps back into the top wall of the balloon. The bottom

part of the cut septum snaps back into the bottom wall of the

balloon. Then endometrium grows over these ridges of septum

tissue, and the uterus is nearly normal shaped on the inside.

Septum tissue is actually a lot like a very firm rubber. It does not

act like normal skin or muscle. It literally does snap back when

cut.

A surgeon could leave too much septum behind if he only cut the

septum at the cervix end of the uterus, but stopped too soon,

before he got anywhere near the fundus. If a surgeon does this,

only some part of the septum snaps back, but some of it is left

intact. This sounds like what happened to you. He cut some,

but left a lot uncut. Sounds like he thought he cut much more

than he actually did. This can happen if the surgeon is not

experienced, or, if there is poor visibility in the scope due to too

much blood or endometrial tissue, or, I guess simple bad

judgement. The best bet for visibility is to have the surgery right

after AF is gone. Or, take birth control pills to keep the lining very

thin.

>

> Anyway, he scheduled a 2nd surgery for February

20something. I don't

> know if I am going to stay with him or not. I think I'll get another

> opinion (I had an initial choice of 2 surgeons here in

Philadelphia)

> either way. I figured I would get on the surgery schedule and

could

> always cancel.

Good plan. If you can find someone with more experience

cutting septa, go with that person. It is important to ask

someone how much experience they have with SEPTA in

particular, not just hysteroscopy. Lots of docs do hysteroscopy

for removal of polyps, fibroids, or tumors, or they do them to

investigate the shape/condition of the uterus. Not many have a

lot of experience with using hysteroscopy to actually cut septa.

Of course, even the most experienced doc can screw up, even if

they have cut 200 septa in their career. My doc, for example, had

done over 200 septum resections, and he still left me with 1.5

cm residual septum. Luckily, it's not enough to be a prob, but he

was shocked and apologized and said he was " sure " he got it

all, all the way to the fundus.

>

> I am not looking forward to another painful procedure and

another 4

> month wait. I have had it.

I know, this is a terrible feeling. I'm sending you lots of virtual

hugs and I'll be keeping you in my thoughts and prayers.

Hugs,

Jill

SU resected