|Discussion in 'All Categories' started by Charles Parkinson - Nov 24th, 2012 10:54 am.|
|i had a exploratory laparotomy to correct a telescopic small bowel caused by a symptomatic meckels diverticulum when i was 19. About 18 months later i had laparoscopic adhesiolysis to free several loops off small bowel that were stuck to the inside of my midline scar. After the bowel was cut free i was filled with adept. 6 months later i fear some adhesions have reformed at the midline scar.
Im looking for the best possible course of action, be it new surgery, a diffrent surgeon or a diffrent prevention barrier. Any help or advice would be massively appreciated.
re: adhesion by Dr M K Gupta - Nov 28th, 2012 10:51 am
Dr M K Gupta
|Dear Charles Parkinson
Laparoscopic adhesiolysis has to be done in your case again and new type of adhesive barrier lie interceed of crystelloid solution has to be used in your case in an attempt to prevent undesired contact between the damaged serosal tissues of the bowel after adhesiolysis and other intra-abdominal surfaces in the critical re-epithelialization period after surgery.
In this manner in your case, inflammatory healing mechanisms are appropriately isolated to the damaged serosal surface, preventing fibrin formation bridges between adjacent tissues and therefore adhesion formation.
M K Gupta
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