I'm a suffer of some pretty extensive Adhesions also & know the pain & complications they can cause
My situation is the opposite as yours being all my problems intensified by first my TAH done in Jan 2000. During my recovery instead of my pain levels improving they worsened exp in my right side of my pelvic region. After almost 3 months, my Surgeon ordered some tests to see if something was going on in there. They revealed my right Ovary to be very enlarged, covered in multiple blood-filled cysts & home to a large mass
Not knowing the nature or origin of the mass my Gyn encouraged me to undergo a Lap along with the removal of that Ovary thinking it to be the source of my continuing pain. The surgerey went well...the mass turned out to be a large amount of Adhesions that had formed on my Ovary, as a result of the surgery, an had it adherred to my Vaginal cuff...he felt confident that this would resolve my pain. Unfortunately, it didnt...it worsened :cry: About a month later I wound up in the ER with a severe pain, in the same area but it was more sharp & extreme. After a long night of test after test I was dx'd with Total Bowel Obstruction in 3 places. I was in need of emergency surgery to release the Obstructions....the culprit? Adhesions...they were everywhere. There was a great amount of overlying Adhesions that made it tough to get in, then they were seen gluing all my organs to various places in my Abdomen & pelvic region. They had things located where they didnt belong.....my intestines were pulled out to ensure all obstructions were free & there were no more that were where they could cause further problems. It was a long, hard surgery that left me in the hospital for 3 weeks. My entire digestive system refused to function, I was prepped for more surgery twice...luckily, they held off both times & things resolved on their own. I also developed Pnemmonia then thrush in my mouth & throat from all the Antibiotics <sigh> it was quite an ordeal!!
I thot for sure the pain would subside after all that but it didnt...like the 2 previous sugreies it worsened. I sought out the advice of several Surgeons & Specialists, I was now desperate
for some relief! Each one shared a little more insight into my situation but they all advised the samething, "no more surgery unless it is life-threatening. Surgery is the cause for the scarring & damage...more surgery in my sitation would probably leave mr with more pain. I was told of the visicious cycle Adhesion patients often fall into of more surgery = more Adhesion =more pain & over & over until the area is soo bad from the amount of scarring that access along with visability to differenciate one organ from the next is impossible...that alone increases the chance of some major damage."
I was referred to a Pain Mgmt group & have been under their care since. For me, it has been a life-saver!! I still have pain but the levels arent at the point where they control my every thot & movement as they were. I can do what I need to w.o planning <for the most part anyway> my life around the pain :-)
I share this ((Oddie)) not to scare you or encourage you not to have the surgery but to share the possibilities that can occur with this or any surgery for that matter.
Adhesions are tricky..not alot is known about them nor is there a *good* method used for prevention. They are our body's natural defense mechanism when it endures trauma, surgery, infection or Endometriosis....it's protecting itself from substaining further damage. There are several products available on the market that were designed to be used during surgery to help reduce the amount of Adhesions that reform. Unfortunately, they dont have a high success rate & there is not alot of Surgeons versed in the proper use of them <sigh>
As ((Beth)) stated about the need to have a SKILLED Surgeon perform these surgeries, it takes one that is skilled to be able to place these products where they need to be with the smallest amount of access they can, preferrably for most Laproscopicaly.
I've looked into some alrternative therapies in treating Adhesions & found one that seems to be the most successful & the least risky...it is Abdominal Manipulation
I'm gonna list a few links detailing this that I thot might be of some help to you:
Manipulative Medicine and the Postoperative Abdominal Surgery
Abdominal adhesions are the result of internal scar tissue that can develop after abdominal or pelvic surgery and are a frequent cause of chronic abdominal pain in people who have had such operations. Although adhesions are quite common and are the leading cause of obstruction in the small bowel, we still don't know how to prevent or treat them. You might try abdominal manipulation, done by an osteopathic physician or a chiropractor who has experience in this area.
Problems related to internal scarring can develop years after an otherwise successful surgery.
Any kind of abdominal surgery increases your risk of developing more troublesome scarring. So you can find yourself caught in a vicious circle of requiring surgery to eliminate adhesions but risking more adhesions with each additional procedure.
I hope this is of some help to you Oddie....from the above sites I listed along with the Forums ((Karen & Beth)) shared, I'm sure other Options will be shown also!!
Good Luck with everything...my prayers will be with you that you may find some answers & relief to the pain & symptoms you suffer
Pls keep us posted on how things are going..........(((((hugs))))))