Why not?

Body: 

I have been pondering over how neurosurgeons can repair the most delicate and intricate kinds of nerve damage after traumatic injury with reasonable success, depending on the situation. Why is it then that surgeons cannot repair the ligaments and fascia of the pelvic floor where damage has been incurred? Surely this kind of surgery cannot be any more microscopic or intricate than repairing nerves??? I wonder if anyone is even trying to develop these techniques or whether the tried and tested (???) surgical methods to "treat" POP are all that are being pursued?

Just a thought. I wonder if anyone has any others relating to this?

Michelle.

To me - fixing a nerve is like fixing an electrical wire - connecting it is intricate but once connected the electric can flow easily

To me - Fixing the muscular fascia is totally different - It is like fixing an elestic band - and though you will fix it well so it looks pretty, the elasticity will be lost to a certain degree - mainly because any stitches you would put it to hold it would make stretching a problem...

I know Christine will come in and say what it really is - Bit that is how I look at it :)

Sue

I have to agree with Sue on the rubber band effect relating to the myofascia. If I may put in my two cents worth here - visualize an absolutely perfect spider web, woven with intricate precision by it's maker. They are geometrically beautiful. If you twang a portion of it, make it crooked, the spider runs out to repair it and make it look like the rest but you will see thicker connections where the repair is done and that area is actually tighter than originally. Now, imagine the myofascia in your body from head to toe, because it is there, on and in the muscles, around ALL of the organs and is a support structure for the entire body. When surgery occurs, and there is bleeding on and into the surrounding tissue, the immune system in the body rushes to repair that thus giving you scar tissue in an area that wasn't cut but close to the cut. It also tries to repair the myofacia in the cut area by forming a woven web that is thicker and more multi layered than the original, thus making a tighter connection at that point. Hence; movement is restricted, not only at the area of incision but could be at a different spot in the body.

As you all know, I've had double mastectomy and lymph node removal from both arm pits. The myofascia (or connective tissue, if you will) on my entire chest and in my arm pits has been compromised permanently. As an example; the pulling and tigtening of the fascia in those areas pulls into other areas because they are connected all over. It has caused agonizing pain as far away from the incision sites as my feet. It is constantly pulling my spine out of alignment which creates other problems like a domino effect. Including my cystocele! A chiropractic adjustment will give me a rubber band twang in the upper back and arms if those areas are too tight. Loosened by massage, the treatment works fine. When I read where Christine said the pelvic floor repairs were attached, stapled, whatever to the connective tissue at the sacrum or coccyx, the bottom of the spine - I cringed! It took me exactly one week of studying and reading on this site, to know without a doubt, that I will not be having any pelvic repairs and I've never looked back.

Know that the fascia is strong, yet delicate, and man has just not understood that there are consequences to all actions. Medical protocols were all originally based on studies of men, not women. Insurance companies allow a man to stay in the hospital as long as it takes for him to pass a kidney stone and pays for it. Women are allowed one day for a mastectomy, 2 days with special requests from the doctor to get prior authorization for the second day. Another standard answer when we are told me need surgery: "The benefits outweight the risks". Believe me, the benefits go in their pocket while you take the risk.

My progress with Christine's guidelines is very slow, but I fully believe she has the answers for us which will not compromise our health, and in fact, bring each of us back where we belong physically.

To your health,
Grandma Joy

Thanks Sue and Grandma Joy for your thoughts!

I tend to agree with you both, and I guess the analogy of the "snagged stocking" is accurate here in regards to fascia generally. You Grandma Joy unfortunately have a unique perspective on all of this with all that you have been through!

I do think though that perhaps this is the direction which surgeons should be pursuing if they continue to insist on tacking, stitching, and suturing organs up into places where they don't belong, and don't stay. (Perhaps they are? I freely admit that I am not at all familiar with the latest research on surgical methods for prolapse). Perhaps they will develop ways to repair the fascia and ligaments somehow, while reducing scar tissue build up, or perhaps I am just dreaming!

I am not in the least pro- surgery, but at risk of sounding controversial here, I do think that there has to be more exploration of all the options available for women whose quality of life is severely affected by prolapse, and who have thoroughly tried all other conservative measures. Of course these include Christine's life changing, and long lasting methods.

Just my thoughts for what they are worth! :)

Michelle.