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General Surgery/Post-op instructions for Abdominal Adhesion removal surgery

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Question
I am a 60 year-old post-menopausal woman who just had (April 10) a Da Vinci assisted robotic hysterectomy after a diagnosis of endometriod adenocarcinoma of the endometrium.I have a total of 5 small incisions.In addition, the uterus was removed vaginally as there wasn't much enlargement. At the same time I had a surgical removal of extensive symptomatic pelvic and abdominal adhesions. The adhesions were removed robotically as well. I was not made aware of the extent of the adhesions until the next day.
At pre-op  I received post-op instructions for the hysterectomy (and associated lymph node biopsies, etc) but not for the adhesion removal. I am experiencing severe abdominal pain after eating and drinking a moderately-sized meal. I should add that I have collagenous colitis, so I assumed my abdominal discomfort was related to the colitis. However the persistence and nature of the pain and associated digestive issues lead me to the conclusion that the adhesion removal was a major contributing factor. I called post-op today and they just said to eat very small meals. Could you please give me some specific guidelines to follow so that I do not jeopardize my recovery. I could not find post-op instructions for adhesion removal online. I could only find info concerning the recurrence of adhesions after abdominal surgery. I was told by the surgeon that adhesions removed robotically do not reoccur. What are your thoughts on this?

Thank-you

Answer
Dear Harriet,

I do not think I understand your question. Adhesions are strands of tissue that forms inside the abdominal cavity following surgery. Some people produce more adhesions than others. They are not anything you can see from outside the body. Therefore, there is no way to prevent them or remove them aside from surgery. If you can be more specific, I may be able to you.

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Dr. Pamela M. Cipriano, DNP, ACNP-BC

Expertise

GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED

Experience

My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Organizations
Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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