Vaginal rejuvenation, and Adhesions

Q Considering Cosmetic Gynecology?
What can you tell me about so-called vaginal rejuvenation? A friend is planning to have a procedure. Is it safe? What are the risks?

A Answer (Published 2/22/2008)

Vaginal rejuvenation, also called "designer vaginoplasty," refers to any of several new cosmetic surgical procedures being promoted as ways to enhance appearance in the genital area or to tighten tissues that have lost tone due to childbirth or aging. It has been popularized on television and in other media, often reflecting insecurities some women have about their bodies and, perhaps, the fantasies their male partners have about women. It might be far less appealing if more women understood that they don't all look alike in the genital area. Gynecologists repeatedly make the point that there's a wide variation of what constitutes "normal."

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The American College of Obstetricians and Gynecologists (ACOG), a professional association of medical specialists in these fields, has warned women against the new cosmetic genital surgery. In a strongly worded statement published in the September 2007 issue of Obstetrics & Gynecology, ACOG said that it is deceptive to give women the impression that any of the procedures is medically accepted or routine. They are neither. ACOG also warned of serious risks including infection, nerve damage, pain, adhesions and scarring and noted that there is no scientific data attesting to the effectiveness of this kind of surgery.

The new procedures are represented as variations on surgery performed to repair vaginal or uterine prolapse or the damage caused by female circumcision (which is still performed ritually in some parts of the world, such as Africa).

I'm not a fan of any type of cosmetic surgery, but this new variation seems even more unnecessarily risky than face lifts and nose jobs. Vaginal rejuvenation is costly (between $3,000 and $9,000), is not covered by health insurance, and, contrary to what some women believe, won't affect sexual satisfaction.

Andrew Weil, M.D.
http://www.drweil.com/drw/u/QAA400358/Considering-Cosmetic-Gynecology.html
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Adhesions - Clear Passage Therapies Natural Treatment

If you have tried this, please leave a comment. Good or bad, we'd like to know. Thank you.

Breaking News! Adhesions easily visualised with simple Barium Swallow!

Breaking News!

Adhesions easily visualised with simple

 "NONE INVASIVE "

CONTRAST X-RAY BARIUM SWALLOW!

When taking the test, you drink a preparation containing Barium sulfate . The x-ray tracks the chalky like liquid as it makes it way through your digestive system, (inside the organs).....however it also showed what was on the OUTSIDE of the organs of the digestive track, (in the peritoneal cavity within the abdominal cavity!)

The "Contrast Barium Swallow" abdominal x-ray diagnostic  was never meant to show anything else, it showed ADHESIONS attaching internal organs in the lower digestive track to the peritoneum and to other organs.

It can also show the "mis-alignment" of intestines from being pulled out of the normal alignment by adhesion attachments!

This diagnostic can also detect bowel obstructions or bowel impactions---and all of this without so much as a surgeons knife!

 

MORE TO COME
on this magnificent discovery in the world of
ARD!

Maybe 2012 WILL be a year of good for

"Adhesion Related Disorder"
victims!

!!!! Visible Adhesions !!!!!

"MERRY CHRISTMAS"
"HAppy Holidays"
or rather
"THank-God"

!! DEMAND THIS DIAGNOSTIC !!

The "X-Ray Barium Swallow" diagnostic test is NOT used to detect adhesions, or any other "pathological anomalies," OUTSIDE of the organs of the digestive track! 

The "X-Ray Barium Swallow" is a diagnostic tool used to solely  detect "pathological anomalies, obstructions and/or diseases," WITHIN the organs of the digestive track!

You MUST insist that your attending physician order this diagnostic test if you have had a previous adhesiolysis, or many of them for that matter, and are currently experiencing abdominal/pelvic pain that YOU think is associated with adhesions, or ARD!

Have it ordered for "Pain," as you see listed below!

DO NOT ALLOW YOURSELF

to be denied this diagnostic!

Barium Swallow IntroductionA barium swallow is a test that may be used to determine the cause of painful swallowing, difficulty with swallowing, abdominal pain, bloodstained vomit, or unexplained weight loss.

Barium sulfate is a metallic compound that shows up on x-ray and is used to help see abnormalities in the esophagus and stomach. When taking the test, you drink a preparation containing this solution. The x-rays track its path through your digestive system.

•These problems can be detected with a barium swallow: ◦Narrowing or irritation of the esophagus (the muscular tube between the back of the throat and the stomach)

◦Disorders of swallowing

◦Hiatal hernia (an internal defect that causes the stomach to slide partially into the chest)

◦Abnormally enlarged veins in the esophagus that cause bleeding

◦Ulcers

◦Tumors

◦Polyps (growths that are usually not cancerous, but could be precancerous)

Barium Swallow - Test Results

ALWAYS INSIST YOU RECEIVE A COPY OF THE TEST , BUT MOST IMPORTANT IS THAT YOU SECURE A VISUAL COPY OF THE FILMS OF THE X-RAY ITSELF AS IT IS IN THESE THAT YOU WILL SEE ADHESIONS IF THEY ARE VISIBLE!!!!

The "normal" pathology results your Dr. looks for and will jabber about are listed below here, just listen them out, then make sure you get a visual or the test for yourself! It is imperative that YOU look for your own results and IF adhesions can be seen in these films, you will recognize them!

Usual Test Results:
Ask your doctor for the results of your barium swallow test. You may have to wait a few days until the radiologist (a specialist in x-ray examinations) looks at the x-rays and gives your doctor the final results. Your doctor will recommend a plan of action to you based on the results.

•The x-rays will show the digestive wave (peristalsis) through the length of the esophagus. When barium reaches the end of the esophagus, the barium enters the stomach.
•The barium swallow may reveal problems in the pharynx (the back of the throat), the esophagus, or the stomach. The problems could be narrowing, tumors, polyps, ulcers (erosions), or disorders in moving food through the system. It can also show a hiatal hernia, diverticula (pouches opening along the esophagus), or varices (enlarged veins).

•If the barium swallow test shows any area of concern, your doctor may plan what other tests, procedures, treatments, or medications you may need. The treatment for problems discovered during a barium swallow vary depending on the condition.  http://www.emedicinehealth.com/barium_swallow/article_em.htm

 

A picture is worth a 1000 word...so see for yourselves!

In 2009 a known adhesion sufferer had a GI Barium Swallow for "Chronic Abdominal Pain."

This female suffered "Adhesion Related Disorder" and had undergone multiple surgeries in which abdominal adhesion's were present and lysed in each of her each surgeries.  Relief was always fleeting and the pain always returned after each surgery.

When this test was taken in 2009 she was told everything is fine and the test revealed nothing, and it was absolutely right, as long as he made his determination based on what the test was meant to show! She had NO abnormal internal organ pathology showing in this Barium Swallow!  The docs said she was just fine and sent her on her way.

She had Cat scans, MRI's every test in the book, you name it and the financial toll was enormous...... and all the doctors said she was fine. They could find nothing wrong and yet she suffered so.
A subsequent surgery was scheduled and records and imagery were sent to the new surgeon.

During pre op...reviews of all the tests...these images below caught the surgeon eye!
The surgeon palpitated each area where adhesions were being visualised on these simple

 "Contrast Barium Swallow X-Ray Films."
As an ARD patient advocate watched, knowing what was being seen on the screen in front of them showing what could only be "ADHESIONS," the Dr. asked the patient, "Does it hurt there? Does it hurt here?"

 Each time the ARD patient confirmed her pain was exactly where the surgeon indicated it might be in her abdomen. The surgeon then told his surgery team that he wanted these films up on a screen in the operating room during the procedure!
 

 You bet he did!

An IHRT patient advocate was scrubbed up and in the OR with the surgeon.....as you will see below, everywhere the wispy white tendrils appeared...is where he lysed adhesion! He used the images below as a guide to lysing the patients adhesions during the entire surgery. He confirmed this for us all!

After surgery, the patient, the surgeon and IHRT advocate were in somewhat of disbelief at what they had just witnessed, and they knew that these images had guided the way...the surgeon confirmed for us that indeed...this simple test reveled adhesions exquisitely!

We feel that this may finally be the end of expensive testing for adhesion patients....the statement that adhesions rarely if ever show up in any type of imaging is now a myth.
No more "Let's have a surgical look, see" to search for the always elusive adhesions.
Use these images to advocate for yourself. Ask for this simple non invasive, inexpensive test!!!!
It is not in your head....it is right there in black and white for all the world to see.
Removing personal information from these images has been difficult but this most generous adhesion sufferer has had that as her only request.
There are more images still to be placed in this posting and each image will be summarised  as to what you are looking at anatomically so please check back! Approx a dozen more images from the same series coming soon!

This news is so wonderful we wanted to get it to you as soon as possible!
We wish all who suffer from adhesions all the best this holiday season and we present you a gift from an anonymous adhesion sufferer.

A simple " Contrast Barium Swallow X-Ray!"

"MERRY CHRISTMAS"
"Happy Holidays"

Surgery done by Dr Pagels



We place his information here for your convenience but urge you to exercise due diligence when deciding which surgeon is right for you!


Dr. Pagels is now Chief of Gynecology at St.Josef Krankenhaus Moers. He was chief of Gynecology at Klinikum Duisburg, when this surgery was done.
This is his address: Herr Dr. Med. Jens Pagels
St. Josef Krankenhaus Moers
Asberger Str. 4
47441 Moers
Germany
Telephone Number: +49 (0) 2841 1072430
His email address is: gyn.pagels@st-josef-moer



This first image below ...what do you see in the one o'clock position?

Do YOU think you are correct!
( NO, that is not a fetus, it is a twisted bowel!)

Behind the badge with Sheriff Stephens ~ "Back then, they called it heartburn!"

Exerpt from full article: http://www.forest-blade.com/news/community/article_f9faf6aa-25d4-11e1-bbc7-0019bb2963f4.html

In the past year, however, Stephens has faced medical difficulties that made it difficult to keep pace with his many obligations. Twenty-three years ago, Stephens was diagnosed with esophageal cancer as a result of acid reflux disease. Though he's been cancer-free since then, the surgery did lasting damage.


"Back then, they called it heartburn!" he says. "They caught it early and they were able to remove the cancer fully. Through the years, the surgery caused a lot of different problems, and I've had my share of them, but I began to have trouble digesting food and it kept getting worse until this year, when I had to have serious surgery to reconstruct my digestive system."


The surgery has solved a lot of Stephens's problems with adhesions and scar tissue from previous surgeries and he is back on his feet and recovering well.


"I was blessed to get through it. It was a tough time for me and for my department," he says. "I can't say enough good words about my employees. They carried on and never missed a lick while I was down recovering from that major surgery."

Severe inflammatory reaction induced by peritoneal trauma is the key driving mechanism of postoperative adhesion formation

Many factors have been put forward as a driving mechanism of surgery-triggered adhesion formation (AF). In this study, we underline the key role of specific surgical trauma related with open surgery (OS) and laparoscopic (LS) conditions in postoperative AF and we aimed to study peritoneal tissue inflammatory reaction (TIR), remodelling specific complications of open surgery (OS) versus LS and subsequently evaluating AF induced by these conditions.

Methods: A prospective randomized study was done in 80 anaesthetised female Wistar rats divided equally into 2 groups.

Specific traumatic OS conditions were induced by midline incision line (MLI) extension and tissue drying and specific LS conditions were remodelled by CO2 insufflation. TIR was evaluated at the 24th, 72nd, 120th and 168th hour by scoring scale.
http://7thspace.com/headlines/399719/severe_inflammatory_reaction_induced_by_peritoneal_
trauma_is_the_key_driving_mechanism_of_postoperative_adhesion_formation_.html

Statistical analysis was performed by the non parametric t test and two-way ANOVA using Bonferroni post-tests.

Results: More pronounced residual TIR was registered after OS than after LS. There were no significant TIR interactions though highly significant differences were observed between the OS and LS groups (p<0.0001) with regard to surgical and time factors. The TIR change differences between the OS and LS groups were pronounced with postoperative time p<0.05 at the 24th and 72nd; p<0.01 - 120th and p<0.001 - 168th hrs. Adhesion free wounds were observed in 20.0 and 31.0% of cases after creation of OS and LS conditions respectively; with no significant differences between these values (p>0.05).

However larger adhesion size (41.6733.63) was observed after OS in comparison with LS (20.3116.38). The upper-lower 95% confidential limits ranged from 60.29 to 23.04 and from 29.04 to 11.59 respectively after OS and LS groups with significant differences (p=0.03).

Analogous changes were observed in adhesion severity values. Subsequently, severe TIR parameters were followed by larger sizes of severe postoperative adhesions in the OS group than those observed in the LS group.

Conclusions: MIL extension and tissue drying seem to be the key factors in the pathogenesis of adhesion formation, triggering severe inflammatory reactions of the peritoneal tissue surrounding the MIL resulting in local and systemic consequences.

CO2 insufflation however, led to moderate inflammation and less adhesion formation.

Author: Sergei PismenskyZhomart KalzhanovMarina EliseevaIoannis KosmasOspan Mynbaev
Credits/Source: BMC Surgery 2011, 11:30