it's about a operation I had amost two years ago what was done, but still have a lot of pain and have to go to a pain doctor. An elliptical incision was made above the umbilicus with a 10 bland scalpel over the patient's previous scar and open draining sinuses. The incision was taken down below the umbilicus. The incision was taken though subcutaneous tissue down all the way to the linea aiba. There was old mesh that was identified where the 2 sinus tracts were. the mesh was removed as well as the Gore-Tex sutures. at this time the abdomen was entered after the lina alba was divided with the Bovie cautery. The peritoneum was picked up and the abdomen was entered sharpy. There were dense adhesions of the small bowel in the midline. This was dissected with combination of blunt dissection. There was another mesh that appeared tobe on the underside od the peritioneum. I took down all the adhesuons. there was extensive enterolysis. This took approximately at least an hour to take down all the adhesions with combination of blunt dissection and sharp Metzenbaum scissors. Most were filmy adhesions that were easily broken up. However, in the midline over the draining sinuses where the mesh was there was, dense inflammation in 2 spots, one along the jejunum, in the proximal ileum. I was able to tae down all the adesions from the ligament of Treitz all the way down to the ileocecal valve.
I elected to do 2 small bowel resections where there appeared to be old mesh. The proximal distal stump was isolate with Kelly clamp and then transected with transected with th GIA 60 stapler. The enterotomies were made at 2ends. they were places side-to side, and functional end-to-end another 60 GIA stapler was fored across the antimesenteric side of the small bowel. The anastomosis was completed with a TA 60 stapler. Two crotch stitches were placed with 3-0 silk to take off the anastomosis. The mesenteric defect was closed with interrupted 3-0 silk stitches. Both small bowel were done in similar fashion.
The small bowel done was then run from ligament of Treitz all the way down to the ileocecal value and again the proximal small bowel was dilated, distal small bowel was extremely narrow secondary tp adhesions. I irrigated the abdomen with several liters liters of saline solution.irrigation fluid was suctioned out and returned clear. there was adequate hemostasis hemostasis. intercede was placed along the midline. that was the end of the operation I did how almost die, didn't think I live for 10 days but I have pain every day and night more at night because I lay on my side or stomach been also two year now just want to be pain free and not have to take paid peds do you see anything here that could help take this pain away or will I always have to take them