Free Medical Advice Related to Laparoscopic Surgery

laproscopic surgery to remove the appendix
Discussion in 'All Categories' started by Dan Maduna - Jan 3rd, 2013 8:52 am.
Dan Maduna
Dan Maduna
removed an appendicises laproscopically in September. In November I started feeling some discomfort in the area of the surgery after I had a long walk brisk exercise. This discomfort is continuing to date, though periodically. What could be the problem?
re: laproscopic surgery to remove the appendix by Dr M K Gupta - Jan 5th, 2013 11:58 pm
#1
Dr M K Gupta
Dr M K Gupta
Dear Dan Maduna

Your problem may be due to adhesion. Postoperative intra-abdominal and pelvic adhesions include the leading reason for chronic pelvic pain, and intestinal obstruction. It can be generally considered that some people are more vulnerable to develop postoperative adhesions than are others. Unfortunately, there isn't any available marker to calculate the occurrence or the extent and harshness of adhesions preoperatively. Ischemia continues to be considered to be the most important insult which leads to adhesion development. Adhesions develop after a personal injury on the normal peritoneal tissue. This injury migh result from surgery, trauma, inflammation, infection, or foreign body placement inside the peritoneal cavity. After injury to the conventional mesothelial cells overlaying the peritoneal surface, the recovery process starts. Vasoactive substances like histamines and kinins are let go of with the disruption of stromal mast cells increasing vascular permeability, which plays a role in the collection of your fibrin-rich exudate that covers the injured area. Two processes occur essentially simultaneously. A single, the fibrin polymers with this exudate interact with fibronectin to make the fibrin gel matrix, which consequently produces fibrin bands involving the injured areas. At the same time, fibrinolysis starts. Fibrinolysis dominates at sites where healing occurs without adhesions. In contrast, if fibrinolysis is impaired, this imbalance may result in the persistence of the fibrinous mass. Subsequently, proliferating fibroblasts invade this area and deposit extracellular matrix material including collagen that contributes towards the formation of adhesion. After elicitation of angiogenesis factors such as vascular endothelial growth factor (VEGF), proliferation of endothelial cells initiates the development of vascular structure inside adhesion tissue. Thus, different mechanistic steps, some of which happen to be described above, regulate the process of healing, with imbalances in a of these potentially contributing to adhesion development. Furthermore, it's likely the activities tend to be pronounced at sites with prior fibrosis, like those undergoing adhesiolysis. Several studies have been conducted to know the mechanisms of adhesion development after surgery along with its prevention. The outcome have been somewhat controversial without bringing about a clear idea of factors affecting postoperative adhesions formation. Despite initial promising link between different measures in postoperative adhesions prevention, none of them are getting to be a regular application. Future studies emphasizing the biological differences between folks who develop postoperative adhesions and people who don't brings a new understanding of the pathophysiology of postoperative adhesions and hopefully cause far better preventive steps.

Laparoscopic adhesiolysis can be tried as method of treatment in case of adhesion.

With regards

M.K. Gupta
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Mathematical catpcha image
=
- calculate the result
* - required fields
 

 

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788