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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It To Be Concerned About Heavy Scar Tissue?

Good evening, I am preparing for a LHS. I had a lot of scr tissue with my second c-section in 2006. It took 80 minutes and the help of bother doctor to work with the scar tissue and close me up. It has been 6 years with very heavy bleeding and enlarged uterus. Do I need o worry about heavy scar tissue being an issue in this surgery and can it lead to a full abdominal hysterectomy?
Wed, 13 Jun 2018
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OBGYN,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Skin of some people may have tendency to form excessive scar tissue, keloid, etc. The other possible causes of excessive scar tissue are infection, tension closure, any small burns due to using cautery during surgery, etc. If scar tissue is only restricted to skin and if there are no intra abdominal adhesions, then you may not have much problem in undergoing laparoscopic hysterectomy. But if there are intra abdominal adhesions, also either due to previous surgery or because of other causes, like endometriosis, etc., then sometimes laparoscopic surgery may become difficult and the need for the conversion into abdominal hysterectomy may arise. This can be known usually during surgery only. So, you may discuss these things with your doctor and follow her advice.

Hope I have answered your query and I will be happy to answer any further follow-up queries.

Take care.
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Is It To Be Concerned About Heavy Scar Tissue?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Skin of some people may have tendency to form excessive scar tissue, keloid, etc. The other possible causes of excessive scar tissue are infection, tension closure, any small burns due to using cautery during surgery, etc. If scar tissue is only restricted to skin and if there are no intra abdominal adhesions, then you may not have much problem in undergoing laparoscopic hysterectomy. But if there are intra abdominal adhesions, also either due to previous surgery or because of other causes, like endometriosis, etc., then sometimes laparoscopic surgery may become difficult and the need for the conversion into abdominal hysterectomy may arise. This can be known usually during surgery only. So, you may discuss these things with your doctor and follow her advice. Hope I have answered your query and I will be happy to answer any further follow-up queries. Take care.