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Unread 10-18-2010, 02:49 PM
Scar tissue

I have had about 3 surgery's on my lower abdomen and am going in for a TVH. I was wondering if scar tissue can be a problem? I have had scar tissue that has caused bowel issue in the past and was fixed during a C-section. Should I worry that it could cause some complication's during surgery?
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Unread 10-18-2010, 05:36 PM
Re: Scar tissue

Well, I can't answer specifically to your situation, but can offer up info regarding what my doc told me. He said I am not a candidate for vaginal hyst because of the risk of scar tissue (4 previous pelvic surgeries...3 were C sections). I guess during vaginal hyst, the view isn't as good and there are parts that could have adhesions that they cannot see..? (or something like that...) Anyway, I am having the DaVinci-so still coming out vaginally but they will have the additional view from the small incisions in the abdomen.
Unread 10-18-2010, 06:08 PM
Re: Scar tissue

Thanks for that information. I talked to my Dr. about it and he seemed to think it wasn't a big deal, but I feel like it might be. I guess if something comes up he can change his plan of action right?
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Unread 10-18-2010, 07:39 PM
Re: Scar tissue


I had a DaVinci hyst on Sept. 28th and as the doctor went in for the right ovary he couldn't get though that little cut because of scar tissue. He had to make another small incision (not planned) to clean all the scar tissue that had developed from my appendectomy in '98. I ended up with 6 small incisions instead of 5 but it is not a big deal. I am free of scar tissue. I am sure that should your doctor encounter some scar tissue, he will come up with plan B just like mine did. We had not even discussed the possibilty of scar tissue because I had totally forgotten about the appendectomy.

Best of luck!!!
Unread 10-18-2010, 07:57 PM
Re: Scar tissue

Prettykitty, I've had 3 c-sections and I'm scheduled for a Trans vaginal laproscopic Hysterectomy. My doctor is hopefully that they can do it this way because of scar tissue, but may end up an open incision. Won't know until I wake up. That is the hard part not knowing until I wake up.
Unread 10-18-2010, 08:29 PM
Re: Scar tissue

Thanks everyone. I'm not sure if I feel better now but I will have to trust he has my best interest at heart and see what happens when I get out of surgery. It's Friday and I can't wait to get through the horrible waiting period. 4 more days and I off to the castle! Take care all of you. :-)
Unread 10-18-2010, 09:59 PM
Re: Scar tissue

When your injuries have healed, you can use caster oil and a heating pad to help get rid of the scar tissue. You put a small amount of the caster oil on your scar and then put the heating pad over it, with something in between to protect your skin from burning, and have it on for 15 minutes a couple times a day. It helps to break down the scar tissue from the inside out, so you may not see a difference right away. But it will really make a big difference.

Good luck!
Unread 10-18-2010, 10:34 PM
Re: Scar tissue

Very interesting!
I also have have three abdominal surgeries. They said that because of this, a vaginal was out of the question as they needed to 'see what they would be dealing with' more clearly. I had an open bowel resection back in '08 and my left ovary/tube removed in '07 and finally my most recent surgery was having my gallbladder removed... but that was done laparoscopically.

My GYN - I adore. She is very up-to date and keeps on top of the latest surgery techniques. I asked her if I could have the Davinci and she flat out said "No way" She said I have way too much scar tissue and to many adhesions. She suggested I get a second opinion (Did I mention that I love this doctor?) - a GYN/oncologist. I did. He agreed that the surgery would have to be another open abdominal procedure, that a patient with as much scar tissue/adhesions as I have, needs to be done in an open procedure. Now the two of them will be doing my TAH/BSO this Thursday.

They both told me that normally this procedure will require only a two to three day stay in the Castle. I am being admitted for at LEAST six days. They are also concerned about my bowel and ureters. They need to be very careful not to re-injure my colon and to mark where my ureters are and to steer clear. Obviously, this cannot be done vaginally or laparoscopically. I totally respect that! I'd rather have a painful recovery (they will be using the same vertical incision line: Navel to pubic hair), and to have it done RIGHT than to just go in and 'get 'er done.'

I'm really scared. There is a very small chance I could wake up with a ileostomy, but the oncologist is confident that I won't.

Since three of yours were C-sections, I think you're okay with the Vaginal. Maybe get a second opinion? I hope things work out for you and I wish you the very best of luck!
Unread 10-18-2010, 10:46 PM
Re: Scar tissue

Best of luck to you with your upcoming surgery. I have severe adhesions and my LAVH went very smoothly. Ask the doc if he/she will be cleaning any adhesions they come across also. You might also ask if they will be using a barrier to help keep more adhesions from forming.
Unread 10-19-2010, 06:54 AM
Re: Scar tissue

MaryFrances my situation sounds just like yours. I am having a TAH on November 8th. It has to be open because I have had two c-sections, gallbladder, abdominoplasty with a hernia repair, total colectomy October 26, 2009, and then emergency exploratory surgery three weeks after colectomy due to infection.

Doctor said no way lap or davinci due to scar tissue. She consulted with all the obgyn's in the practice and they all agreed to risky. She also told me I could wake up to a temporary ileostomy because she is worried that my intestines could have fused to my uterus due to adhesions.

I am having two surgeons operating on me. Also having this done at Wake Forest Baptist Medical Hospital so if they need to call in specialists while in surgery they can.

I am just in terrible pain and ready to get this over with. I have been to er twice for pain in the past two weeks. I was just there from 5pm to 1am yesterday. So tired of this and ready to get it over with.

Good luck with your surgery!

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