Pelvic Adhesions -- Some good links

[Guest guest]

Good morning,

As so many of the group have had or will have surgery to treat their

fibroids I thought that you would be interested to learn more about

pelvic adhesions as 75% of patients who undergo surgery in their

abdomen end up with some form of adhesions. Adhesions can also be

caused by pelvic infections and emdometriosis. Adhesions can

interfere with fertilility, cause pelvic pain and can cause

obstructions.

Talk to your doctor prior to surgery about what they will do to

control adhesion formation and if you have pelvic pain and have had

surgery make sure that your doctor investigates if adhesions are part

of the problem. The links below offer a good range of information on

the topic.

Adhesions & Pelvic Pain: What Women Need To Know About Prevention and

Treatment

www.ethiconinc.com/womens_health/product/

Pelvic Adhesions

http://www.obgyn.net/displayarticle.asp?

page=/women/articles/bradley/banter_0615

Pelvic Abnormalities: Pelvic Adhesions (photos)

http://www.infertilitytutorials.com/pelvic_members/abnormal_pelvic.cfm

International Adhesions Society

http://www.adhesions.org/index.htm

(they are also conducting a survey of patients regarding informed

consent forms with regards to mention of adhesions

http://www.adhesions.org/images/InformedConsent_Questionnaire.pdf)

Pelvic Adhesions Brochure from RESOLVE

http://www.resolve.org/main/_pdf/Pelvic_Adhesions.pdf

Chronic Pelvic Pain

http://www.gfmer.ch/Books/Endoscopy_book/Ch18_Chronic_%20pelvic_%

20pain.html

(includes some info about how to minimize adhesion formation)

Pelvic Adhesions

www.obgyn.net/english/pubs/features/presentations/essien4/pelvic_adhes

ions.ppt

(fairly clinical and scientific information about adhesion formation

and prevention in a Powerpoint presentation)

Prospective clinical trial of SprayGel as a barrier to adhesion

formation: an interim analysis.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?

cmd=Retrieve&db=PubMed&list_uids=14567808&dopt=Abstract

(there are other media that can be used to prevent adhesion formation

as well, if you are interested continue searching on these terms:

" pelvic adhesions barrier agents " )

[Guest guest]

Great info! During my second opinion appointment with a fibroid

specialist, I learned that the probable cause for my fibroid

discomfort on my left side is from an adhesion that occured post lap

ectopic pg surgery. They are certainly something that everyone

considering a myo should be aware of and should discuss with the

potential surgeon.

I did bring up the subject of adhesions on an online chat with

fibroid specialist Dr. West, NYC. He advised that surgeons that are

very skilled (as he, lol), rarely find this outcome in their

patients. From all my research I have found that surgery on the

uterus is a very touchy one from a surgical perspective with all the

blood supply issues and such. All the more reason to get that second

opinion (and even third), and find the very best, most seasoned

surgeon to get rid of your buggers!!!

A friend of my mom's had a hyster years ago and has had

problems " down there " ever since. I am sure that adhesions are the

culpret.

best,

suz

> Talk to your doctor prior to surgery about what they will do to

> control adhesion formation and if you have pelvic pain and have had

> surgery make sure that your doctor investigates if adhesions are

part of the problem.