Re:surgery'll weaken my uterus?? (loss ment.)

[Guest guest]

Hi All-

Now that I have decided (after 3 opinions) to go ahead with resection surgery

in exactly two weeks---- my sister spoke to a doctor she works with down in

Florida (he's a hematologist, whom she spoke to about me, because I lost my son

probably due to a blood clot in his cord, maybe or maybe not related to my

SU/BU)...and he says that " uterine surgery " is a serious matter (which I know)

because it will potentially weaken my uterus. Not what I need to hear.

Although, as I then discussed with my sister--a surgeon will probably recommend

surgery (she said) and other doctors don't know as much about the surgery, etc.

Gosh, who to listen to?.....my gut tells me to listen to the doctors I have

already seen (although yes, they are surgeons---well, some aren't--I saw a peri

at

Yale who agreed)...and to listen to the women on this board who have gone

through it themselves. Anyway, can anyone relate to having to deal with people

who

question your decisions and scare you to some degree? Two more weeks to go and

the anxiety is building--yet I look forward to having it done. Thanks.

36, SU/BU (combo?), late-term loss (7/04)

Resection 11/15

[Guest guest]

Its true that any surgry on the uterus will potentially weaken your

uterus. That's why its important to go to someone you trust and has

knowledge in the surgery its self.

Just think of it this way, your uterus is way better off than mine

witch has endured 2 c-sections and is scheduled for a resection in

Dec.

As long as you know what your doing and when you get pregnant you

let your Dr know. You should be fine. I wish you luck and I'm

excited for you to have your surgery.

" Combo Platter! " SU and BU

dd 8/14/01

ds 5/6/03 10 weeks early due to a uterus stretched to capacity.

[Guest guest]

Hi ,

Sorry, I have not been able to keep up with the board lately. I just

wanted to give you my $0.02.

Be careful about advice from other specialists (for example the

hematologist that your sister spoke to). Yes, uterine surgery is

considered major surgery. But this dr also probably is not aware

that septum resections are done almost always as a lap/hys procedure

and not via abdominal metroplasty. Lap/hys is fairly new for

resection...it has only been routinely used since the early 1990's,

so it is likely that they hematolgist is not aware that this MUCH

less invasive procedure is now used. Even my ob/gyne thought that I

would be undergoing abdominal metroplasty and I would have thought

she would be better informed since she is in a " related-field of

study " . A lap/hys is not as invasive, only the septum is cut, NOT

the uterus (as was done in abdominal metro), so the injury to the

uterus is minimal to none (if the uterus is not ruptured, your uterus

should not be weakened at all). Reports of rupture are not common

here - many have had the surgery, but luckily we have had few

experiences with rupture and even those that did have that

unfortunate expereience have gone on to have viable pg.

When the septum is removed, it is sometimes just cut through (or

lasered through) the center vertically toward the top of the uterus.

Usually the two sides of the remaining septum snap back against the

uterine wall and get covered by endometrium over time. Or some drs

actually cut up the center and across the top to make sure that it is

taken out completely. I had 2 sugeries by 2 different drs. The

first used the method where only the vertical cut was made by

cutting. It was ineffective as mine was quite wide at the top. Dr.

#2 used the versapoint laser and cut up vertically and also across

the top toward the tube openings. This was very successful...uterus

looked *normal* in the HSG pics taken during op.

There is some concern in literature about IC from too many

procedures. Myself, I have been dilated for 2 d/c, 4 HSGs and 2

resections but did not have any probs with my last or current pg

(knock on wood). Talk to your dr and ask how common that is.

Your best advice will come from the REs. They are the experts in

their field and dedicate their time to keeping up to date with

technology, procedures and statistics for the procedure you are about

to have. We're a good resource too, of course - LOL! Lots of

different experiences here to pull from.

Good luck with your surgery and feel free to ask any questions to

help ease your mind before you go in.

Sara

37, SU resected x2

dd 13 mos, #2 27w5d

[Guest guest]

Hi ,

Sorry, I have not been able to keep up with the board lately. I just

wanted to give you my $0.02.

Be careful about advice from other specialists (for example the

hematologist that your sister spoke to). Yes, uterine surgery is

considered major surgery. But this dr also probably is not aware

that septum resections are done almost always as a lap/hys procedure

and not via abdominal metroplasty. Lap/hys is fairly new for

resection...it has only been routinely used since the early 1990's,

so it is likely that they hematolgist is not aware that this MUCH

less invasive procedure is now used. Even my ob/gyne thought that I

would be undergoing abdominal metroplasty and I would have thought

she would be better informed since she is in a " related-field of

study " . A lap/hys is not as invasive, only the septum is cut, NOT

the uterus (as was done in abdominal metro), so the injury to the

uterus is minimal to none (if the uterus is not ruptured, your uterus

should not be weakened at all). Reports of rupture are not common

here - many have had the surgery, but luckily we have had few

experiences with rupture and even those that did have that

unfortunate expereience have gone on to have viable pg.

When the septum is removed, it is sometimes just cut through (or

lasered through) the center vertically toward the top of the uterus.

Usually the two sides of the remaining septum snap back against the

uterine wall and get covered by endometrium over time. Or some drs

actually cut up the center and across the top to make sure that it is

taken out completely. I had 2 sugeries by 2 different drs. The

first used the method where only the vertical cut was made by

cutting. It was ineffective as mine was quite wide at the top. Dr.

#2 used the versapoint laser and cut up vertically and also across

the top toward the tube openings. This was very successful...uterus

looked *normal* in the HSG pics taken during op.

There is some concern in literature about IC from too many

procedures. Myself, I have been dilated for 2 d/c, 4 HSGs and 2

resections but did not have any probs with my last or current pg

(knock on wood). Talk to your dr and ask how common that is.

Your best advice will come from the REs. They are the experts in

their field and dedicate their time to keeping up to date with

technology, procedures and statistics for the procedure you are about

to have. We're a good resource too, of course - LOL! Lots of

different experiences here to pull from.

Good luck with your surgery and feel free to ask any questions to

help ease your mind before you go in.

Sara

37, SU resected x2

dd 13 mos, #2 27w5d