depoprovera for fibroids?

< REFRESH >
Topic Title: depoprovera for fibroids?
Created On: 09/15/2005 09:28 AM

View topic in raw text format.

Bookmark and Share

 02/23/2006 11:25 PM

Author Icon
toby459

Posts: 127

Hi Merton,1. Yes, vicryl sutures are dissolving.2. Trocar ports means 3 SMALL incisions, the size of a dime, nickel, & sometimes a quarter. It depends on what size millimeter ports the surgeon uses. There are 5mm, 10mm, 11mm, & 12mm ports. For laparoscopic hysters, we usually use one 11mm port in the bellybutton, one 11mm port lower left, and one 5mm lower right. It is not the same thing as the bikini incision. The bikini incision is usually a horizontal incision along the top of the pubic area, right where the top of a bikini bottom would come to, hance it's name. Bikini incisions are larger than trocar ports. 3. If you have a cold on the day of surgery, your surgery might be postponed. It's up to the anesthesiologist. Vasopressin should be used cautiously in the presence of epilepsy, migraine, asthma, or heart failure. To my knowledge, it can be used in patients with a HISTORY of bronchitis.....Kim
    REPLY     Quote     Top     Bottom    
 02/23/2006 03:56 AM

Author Icon
merton44

Posts: 9

Hi Kim,- Are Vicryl sutures dissolving sutures?- 3 trocar ports means 3 incisions? Is one of them a “bikini” incision?- Would pitresson be contraindicated for someone with a history of bronchitis or if they have a cold on the day of the surgery?Thanks for the one kilo site. It's very interesting. I only found one guy in New York but he had to make a settlement payment in 2004! I'm guessing Harry Reich spends more time in PA?
    REPLY     Quote     Top     Bottom    
 02/21/2006 10:56 PM

Author Icon
toby459

Posts: 127

Hi Merton,Boston Scientific, who makes the HTA, recommends the medication regime before having the procedure. I'm not sure if a doctor would perform the HTA without going through proper standard and procedure. I guess you could ask. I'm not sure what is the cutoff size for the fibroids which would contraindicate the HTA.....We have safely removed intramural fibroids larger than 6cms laparoscopically. First, we visualize the fibroid with the scope, then inject a pitresson solution directly into the fibroid using a spinal needle through the abdominal wall. This controls bleeding well. Then we use the harmonic scalpel hook to open the uterus to get to the fibroid. After the fibroid is removed, sometimes we use pack the defect with surgicel, a hemostatic agent to further control bleeding. The defect in the uterus is then closed with size 0 or size 2-0 Vicryl sutures. Bipolar cautery can be used for any small remaining bleeders. We take the fibroid out with a Morcellator, which cuts the fibroid into smaller more manageable pieces that can be brought out through one of the larger trocar ports. We usually use only 3 trocar ports for the entire procedure. The size of the fibroid or uterus to be removed laparoscopically is mainly limited to the experience of the surgeon. We safely removed a uterus the size of a 12 week pregnant uterus. It weighed 1000 grams. There is a website for the experienced laparoscopic surgeons who can safely remove a uterus that weighs 1000 grams or above. It's called the One Kilo Club. Go to www.onekiloclub.org....I have worked with Dr. Harry Reich and now work with Dr. Doug Coslett from Pa. I believe they are both on that website.There is discharge from the cuff postoperatively after a lap hysterectomy. This shouldn't last very long though. Thanks.....Kim
    REPLY     Quote     Top     Bottom    
 02/21/2006 02:43 AM

Author Icon
merton44

Posts: 9

Toby,Some questions:- Would a doctor be willing to do HTA without using depoprovera, lupron or another such drug? My biggest submucosal fibroid is only 2.5 cm and I have allergies and react to most medicines in ways most people don’t. - Can a 5 to 6cm intramural fibroid deep in the wall of the uterus be safely removed laparascopically?- Is there a uterus size limit for a laparascopic hysterectomy? or laparascopic myomectomy?- Is there any bleeding or discharge after a laparascopic hysterectomy? thanks-
    REPLY     Quote     Top     Bottom    
 01/11/2006 09:31 PM

Author Icon
toby459

Posts: 127

Hi Batya...you didn't say whether your fibroids were on the inside or outside of the uterus...I've been a gyn surgical RN for 10yrs. Let me tell you about the newest & best procedures for both types of fibroids. If your fibroids are inside the uterus, there is a procedure called Hydrothermal Endometrial Ablation. The company that has this is Boston Scientific. It is an ablation procedure for heavy bleeding that can be done even in the presence of intrauterine fibroids. You would be put on a depoprovera drug for a short time before the procedure to help shrink the fibroids. (The drug sometimes helps, sometimes doesn't, but it's not harmful to try it). Anyway, results with this Hydrothermal Ablation procedure are very good, and you would have little to NO bleeding during menstrual cycles. However, you are encouraged not to have any children after the procedure, so if you plan on having children, forget that..... If your fibroids are on the outside of the uterus, there is a procedure called a Laparoscopic Myomectomy. A skilled Laparoscopic GYN surgeon can do this without problems. If you need a hysterectomy, find a skilled Laparoscopic GYN surgeon who can perform that through the scope. You will have a bellybutton incision. The uterus is disconnected from it's attachments through the scope, then pulled out through the vagina. Minimal bleeding & minimal post op pain. I assist in many of these cases weekly. Many of the patients go home the same evening or the next morning. Don't opt for the abdominal incision anymore, the scope procedure is the way to go for hysterectomies these days. Unless the surgeon is not very skilled...good luck.....Kim from Pa.


    REPLY     Quote     Top     Bottom    
 01/11/2006 03:53 PM

Author Icon
katy53

Posts: 1

Hello. Batya, I have just found this site and it has a wealth of info & resourses. My experience is since 1991 have been on depo for heavy bleeding & shrink uterine fibroids worked for a time now doctors are saying it's not so good anymore, so getting off of it due to 1 entire month bleed w/ thick napkins & several a day. doctor suggests now endometrial ablation ,this after d&C the year before that. So my advice is to research all you can & maybe even change your dr. if that is the only treatment offered to you. This website will help you with info. Hope this helps or maybe I'm too little too late.


-------------------------
This is the signature
    REPLY     Quote     Top     Bottom    
 09/15/2005 09:28 AM

Author Icon
batya1

Posts: 3

I am trying to avoid a hysterectomy, and my doctor suggeted depoprovera as the next step in treating my fibroids. I have heard very, very bad press on this drug treatment. Any body out there with information? Thanks Batya
    REPLY     Quote     Top     Bottom    

Bookmark and Share

View topic in raw text format.
< REFRESH >
 Register
 Login
 Main Page
 Uterus News
Feature Story
 Education Center

Conditions
Treatments
Diagnostics

Find a Physician
HTA in the News
 Heavy Periods Center
sharonbober  Uterus
 Hero™

Dr. Sharon Bober:
Healing the Sex Lives of Cancer Patients
About Heroes
 Community
Uterus1 Forums
Patient Stories
Frequently
    Asked Questions

One Question Poll
    Archive

 Reference
Locate a Specialist
Online Resources
Uterus Anatomy
Video Library
Menstrual Diary
Office Visits
Patient Brochures
  
advertisement
Home About Us Press Jobs Advertise With Us Contact Us
advertisement
©1999- 2014 Body1 All rights reserved.
Disclaimer: The information provided within this website is for educational purposes only and is not a substitute for consultation with your physician or healthcare provider. The opinions expressed herein are not necessarily those of the Owners and Sponsors of this site. By using this site you agree to indemnify, and hold the Owners and Sponsors harmless, from any disputes arising from content posted here-in.