Cards Fan

(deactivated member)
on 3/13/07 1:41 am - MO

I spoke with CardsFan today and he said there were some problems with his surgery 2 weeks ago. First, the discovered two hernias, a small one below and a larger one and more uncommon one higher. He also had Gall Bladder removal. Developed a bleeder. And has a hematoma about the size of a baseball near his navel. He is currently on anti biotics. I fully expect he'll be on the forum soon since he was surprised to learn that his name had come up. Bob.

Dx E
on 3/13/07 2:22 am - Northern, MS

RNY on 07/03/03

Thanks for the Update Bob!! Sorry to hear he had a rough go of it. Hopefully CF will be back to ‘Hittin’ on all cylinders’ Soon! Best Wishes- Dx

NotDave (Howyadoin?)
on 3/13/07 6:38 am - Japan

RNY on 03/16/06

Hi Bob,

Thanks for the update. Hope he recovers well and soon. Very worrisome for me as well, since I'm scheduled for some small bowel readjustment. It's lap surgery and the surgeon assures me that I'll be lifting weights one week later, but still a concern.

Please say hello to CF.

Dave

Dx E
on 3/13/07 8:18 am - Northern, MS

RNY on 07/03/03

Dave, When are you scheduled to be "worked on." And is it hurting you in the meantime? Keeping you from eating normally? Do they have a clear fix in mind? Or is some of it "exploratory?" OK, I’m full of questions… How did they image it. MRI? "CT Scan?" X-Ray with contrast swallow? Hoping the Best for you…. Best Wishes- Dx

NotDave (Howyadoin?)
on 3/13/07 8:38 am - Japan

RNY on 03/16/06

Hi Dx,

Scheduled for 4/19. They xrayed me three times (standing and lying down), and CT. No contrast study. One doctor said he saw one slightly narrow, but not dangerously narrow spot, the other said he saw an "abnormally high amount of gas".

The surgery will be both exploratory and will fix and "potential defects", as well.

I've had a lot less pain since I've started Probiotics, carbonated beveridges and Glutamine (5 grams/ day) + plus the ZMA improves bowel movements, which helps release gas. Lots of "self-medication" here, but nothing too radical.

I was RNY number 86 for my surgeon and I understand there is an "internal hernia learning curve", which may account for 7-9% of RNY patients getting a hernia. Another factor, I suppose could be losing considerable beyond the goal weight - something that might exceed the surgeon's calculations. My docs patients seem to rarely get to goal weight, because my doc is the only lap RNY surgeon, everyone lives pretty far apart and there is very little support and probably no "tough love." So, they may be experiencing hernias far less often than average.

Any insight would be appreciated. Thanks, as always.

Kind Regards,

Dave

Dx E
on 3/13/07 12:50 pm, edited 3/14/07 1:58 am - Northern, MS

RNY on 07/03/03

Dave, Hope and Praying for the Best for you on the 19^th and hope all goes well till then. If they’re not "rushing it" then that’s a good sign that it’s not ‘strangulated’ just narrowing and impeded. Here’s some of what I had sitting in links list or hard drive- --------------------------------------------------------------------- Small Bowel obstruction after Lap-RNY- http://www.danaise.com/BARIATRIC-leak.htm

Complete with a diagram/illustration. Some general Hernis info- http://www.bodybuilding.com/fun/luis16.htm (I had an Incarcerated Femoral Hernia. It was repaired Laproscopically in less than 1 hour-from anesthesia to walking out of hospital) General Bowel Obstruction- http://www.emedicine.com/emerg/topic66.htm -------------------------------------------------------------------- A step by step through Bowel Obstruction Repair In the form of a Small Bowel Re-Section- with Illustrations- ----------------------------------------------------------------------------------- Small Bowel Resection - Normal Anatomy Typical Normal Small Intestine composed of- the duodenum, the ileum and the jejunum. ------------------------------------------------------------------------------------------- Indications for Small bowel resection.

Resection of the small bowel may be recommended due to the following possible indications- --blockage of the intestine (intestinal obstruction) due to scar tissue or deformities (most common reason for Bariatric post-Ops) --bleeding, infection, or ulcers due to inflammation of the small intestine (regional ileitis, regional enteritis, Crohn's disease) --injuries, cancer, precancerous polyps ----------------------------------------------------------------------------------------------------- Small bowel resection Typical Incision The patient is deep asleep and pain-free (general anesthesia). An incision is made into the abdomen. (mid-line) ----------------------------------------------------------------------------------------------- Small bowel resection - Procedure

The diseased/effected part of the small intestine (in this example-ileum) is removed. The two healthy ends are then sewn back together and the incision is closed.

If it is necessary to spare the intestine from its normal digestive work while it heals, a temporary opening (stoma) of the intestine onto the abdomen (ileostomy) may be done. A temporary ileostomy will be closed and repaired later. ----------------------------------------------------------------------------------------------- Small bowel resection - Aftercare

The outcome depends on the reason for the procedure. Some re-section procedures may be require the patients to stay in the hospital for as little as a day up to 5 to 7 days. Complete recovery from surgery may take 2 months. During the first few weeks after surgery, eating is restricted. In the case of an internal hernia that does not require re-section of intestine but merely adjustment of placement an closure of internal tissue fissure that allowed intestine to be strangulated or incarcerated, This procedure can be done as out-patient and tissue reinforced with surgical mesh. That would be the fastest fix and hospital stay.

As I come across more, I'll pass it on.... Best Wishes- Dx