Surgery Report ?????

Got my Surgery report and have a few ??? I do have some medical background but there a few statements that I don't understand.

1. What is meant by the term "large boggy Uterus"?

2. "The round ligaments and the utero-ovarian where then cauterited and cut." Since I had my tubes tied 18 years ago wouldn't this have already been done?

3. "Postoperative diagnosis #3: Probable Adenomyosis" Wouldn't She be able to make a positive or negative diagnosis of Adenomyosis, not probable?

4. What does this mean? " The Uterine Serosa was incised in the midline and the bladder was mobilized away with a sharp and blunt dissection." Sounds scarey as I am having some trouble with my Bladder.

Thank you to whoever can help me understand,
Nancy

My guesses:

1. Due to adenomyosis, the usterus was "boggy" because of the endometrial tissue trapped in the layers.

2. The ligaments are not the fallopian tubes, they are what hold the uterus in place. They also attach the vaginal cuff to the uterine ligaments to anchor it.

3. It is "probable" until a positive diagnosis is made through biopsy in a lab. It can take weeks to get the lab report back.

I have tried for 3 weeks to get my surgery record and pathology report from my doctor. I have requested it in person, signing the appropriate forms, and again by phones. I still have not received it. Does anyone know if they have a legal timeframe within which they have to legally respond to a request?

I was told at the hospital it can take 1-2 months because they are so busy and everyone wants reports. It takes time.

Hi,
My doctor handed me my surgical report at my 2 week appt. I called the hospital and asked for all records to be sent to me. It cost $5.00 and arrived in 10 working days.

Everything was in the hospital reports. 1) Authorization for disclosure of health informaion sheet ( this allowed me to ask over the phone) 2) Personal information sheet 3)Discharge summary 4)Pre op history and physical exam report 5)Operative report (same as physician's surgery report) 6) 4 lab reports 7) Anatomic Pathology report gross description, 8) Anatomic pathology report microscopic diagnosis. All very interesting.

To help me understand these reports another sister had passed this site to me and I'll pass it on to you: www.pathologyoutlines.com

This is a big site..just find Uterus, click on it, and look for the word you need in the first paragraph and then scroll down to find the definition. Back at context, find Ovary, click ....you got the picture.
Hope this helps
Maralyn

Hope this helps. Of course, the best way to be sure is to ask your doctor.

1. your uterus was large and swollen and soft. Boggy is a common term to describe the feeling of an organ and does not mean one particular diagnosis or another. IF you have large fibroids or swollen uterus from endo then this could be consistent. Considering you had a hyst for uterine problems, this is not unusual.

2. The ligaments referred to are ones which support the uterus and ovaries in the pelvis (to stop them falling out lol). this is different to the Fallopian tubes (also known as uterine tubes) which were cut or clipped with your tubal ligation. Those ligaments referred to have to be cut in order to remove the uterus. This is a totally normal and essential step.

3. the probable adeno refers to the fact that although it looks as though you have it just by looking with the naked eye, she cannot be 100% sure until the pathology comes back. SOme people have disease that is hard to see with the naked eye. Other doctors do not want to label you with the diagnosis until they are sure. I wouldn't worry about this as it will hopefully become clearer when the path is back.

4. the uterine serosa is a normal skin-like covering over the sruface of the uterus. It was peeled away to help make the dissection aound the uterus easier. The bladder is stuck to the front wall of the uterus (this is normal), and your doctor used a combination of cutting and gently peeling (hence sharp and blunt dissection) the bladder away from the uterus in order to take the uterus out without taking the bladder. It does sound painful (that is why you have an anaesthetic) but is it a normal part of sugery and necessary to get the uterus out without too much damage to other structures. It is common to get some bladder problems after the sugery as the bladder has taken a little bit of a beating and the nerves insider the pelvis may be a bit bruised. Hopefully it will settle down, but you should speak to your doctor to see how long it will take.


Most of us have the mental picture of our uterus just sitting happily in the pelvis with the bladder in front and the rectum behind. This is what we see in the drawings and illustrations in books and on the net. But the relationship between the organs, and the nerves and blood vessels and things are very intimate, with a lot of the structures actually stuck together. So it does require great skill to remove the uterus without altogether damaging everything else around there. It is not just a simple matter of lifting it out (wish it was, especially with my radical hyst coming up!).

Good luck, I hope this has eased your mind. Nothing in the op report sounds sinister, but certainly ring your doctor and check of you are concerned. xxx

Thank you everyone! I feel much better. I guess I should of asked for the Pathology report also when I made the records request. During my 3 week check my Doc. did say that "The pathology report said that you don't have cancer." I won't have a 6 week since it was a LSH. I really appreciate all of the great support I receive from the sisters here!
Nancy