Pelvic Abscess and Hysterectomy

[sccruzcruz]

mami que miedo



[sailorchibimoon1665]

I wanna barf!

[killerdeadzone]

i would love to be awake while this is happening to me



[brandiist]

i would sue the hospital she is only 18 and now she cant have anymore babies

[AgoliantMystified]

you know you have a fucking problem when a doctor is scooping blood out of you with his hand.

[mrrogue72]

How were this poor womans adhesions? I had a kidney transplant and the adhesions were some of the worst abdominal pain I ever had. I couldn't imagine this.

[tas4435]

Its a shame she will never be able to have another child, she's so young and i'm sure her parents, as well as other family were upset she became pregnant so young. She will neer know what its like to be married and have more than one child

[diamondgirl828]

I found this fascinating. I have always enjoyed watching real medical procedures. This was very informative. I had a hysterectomy at age 33 due to fibroid cysts. I hope this young women realizes how close she came to leaving her new baby motherless. I also hope and pray that she can soon come to grips with the fact that she will no longer be able to reproduce. God is in control. I also pray that she has a strong family structure that supports her. Prayers for the baby as well. Thanks!!

[MumbaDude]

It's very hard to watch the surgery that nearly killed me. I will never walk properly again. Premarin...no still able to cause breast cancer. ONLY nature HRT and a darn good portable fan for those Personal Summers. The further you are from the age of 40 when a hysterical is done that harder it is the stabilize the hormones. Expect to have your emotions all over the place for a very long time.

I'm so happy that she made it thru that ordeal and has a healthy baby. Always get a 2nd and 3rd opinion.

[ari1595]

why video tape this....why watching this while eating??.......

[sailorchibimoon1665]

@ari1595 LOL! Go ahead!

[shybettigurl]

That was a very interesting surgery. Quite amazing actually. Had a question though, did she have to have the surgery because someone messed up her c-section, or is that just a risk you take if a mother ends up getting a c-section?

[DorkishN3rd]

sort of the same thing happened to me, I had my daughter at 20, and I was 40 weeks 4 days into my pregnancy, had a C-Section lost a lot of blood, was given 3 pints, and everyone wondered where the blood was, because I had absolutely not bleeding. Had my stomach looked up and all of my blood was pooling behind my C-Section scar, long story short was discharged, and had to come back the next day to have the C-Section opened and cleaned out due to infection :( that sucked.

[Dablkwid0w2008]

pelvic sepsis? That's f ed up I m glad they caught it in time

[BonBonSweets]

This poor girl, from what I am looking at it is a miracle she had one healthy pregnancy. I have just turned 40 May 1 and am having a hysterectomy on May 19 2011, this was such a hard decision for me to come to at my age and already having 3 healthy daughters. I cannot imagine what this must have been like emotionally for this poor young girl. I pray she is doing well now.

[mohomadali]

this is actually kinda interesting to see the insides like that...

[ososwyft]

mmmmmm white meat!

[enchantedfarie]

I feel so badly for this patient. I had an abdominal infection that almost killed me, but Im very thankful it didnt get this bad. Oh man, shes gunna be in pain post-op.

[Laurieb2851]

Yes, doctors - you did a great job. My girlfriend almost died from infection after her hysterectomy. They didn't know if she was going to live or not. She was in her early 30's. She could have sued, but she was just so thankful to be alive.

[Laurieb2851]

I had a complete hysterectomy at age 44 for a variety of different things - the worst being endometriosis. I hadn't known I had any of this in me until I was given a prescription for the steroid Medro Dos Pak. It only took one dose to turn my life into hell. Luckily, I got to my gynecologist after 6 months of physical therapy, etc., because no one knew the problem nor did they want to know. My pelvis was tiny and completely compacted. They had to pry everything out.

[Bran5807292045]

That's awesome!!

[SaturnAlien33]

This video brought tears to my eyes. I had a LAVH/BSO 6 months ago due to endometrial carcinoma. It was caught very early (stage 1A) and I feel very fortunate for that. I can only imagine how traumatic this was for a girl so young, but her life was saved and that's what matters most. Hats off to you and your medical team.

[shamrock4500]

glad i didn't see that before my hysterectomy, eeek

[rice3y]

Nice work Dr`s!!

[1drvhead]

This poor girl! Dr. Torres, you did a WONDERFUL job, and if ever needed, I would definitely come to you for my female surgeries. Keep up the great work!

[laideehawk]

@ContinuosChange - my comment regarding "roughness" was in response to someone who was wondering why the surgeon was so rough. To someone who has not seen surgery performed the "roughness" used can be disconcerting. I did try qualifying the statement with how resilient the human body is. I have worked in the OR btw. How am I a moron and giving nurses a bad name? I totally agree the nurses could have been responsible. Something I read in the comments gave me the impression the infection came fro

[maifranco79]

man i hope this lady had a very nice recovery she did have alot of infection, hope she did well.

[maifranco79]

ok now im freaking out, im scheduled to have a full hysterectomy in about a week due to a large mass that was found, and i am having the old fashion incision too.

[CataclysmicStar]

@angryrnmedic No offense taken in the least! I was merely curious as to your viewpoint. I am also not a doctor; I grew up in the medical community thanks to my mother's work and am working toward becoming a pharmacist but that is nowhere NEAR working directly on patients through surgery or even treatment. :) I agree that the surgeons made the exact right choice in that situation, although I do still feel sorry for the girl. I am 24 and have had two children so I already feel lucky in comparison.

[Angryrnmedic]

I now wonder if she should have had a D & C much earlier and maybe it might have prevented this septic situation she now suffers making the surgery necessary. They never would have gotten all that infection gone with antibiotics alone. Surgeon is quite correct. The uterus is so infected/dammaged that it has to come out. A total is certainly the right approach. It's what I've seen many doctors choose in that situation. RN

[CataclysmicStar]

@Angryrnmedic A D&C within the few days after birth, or much earlier as in they should have performed a D&C instead of allowing her to continue carrying the child?

Sorry, the comment is a bit unclear. :)

As a note, I'm pro-choice but if that is the meaning of your comment I'm curious as to your reasoning. :)

[Angryrnmedic]

@CataclysmicStar I'll tell you honestly, I've gone back over this thing and my post several times and I don't even see how it makes much sense either. I guess my mind had "stripped it's gears" with that. It had no consideration of the pro-choice or the other position. just that sadly, the uterus was very inflammed obviously. I was an RN, but not a doctor and didn't even work in OB-GYN/Maternal-child. Anything that infected must come out. So sad. Hope I didn't offend. That was not my intent. RN

[Angryrnmedic]

I now wonder if she should have had a D & C much earlier and maybe it might have prevented this septic situation she now suffers making the surgery necessary. They never would have gotten all that infection gone with antibiotics alone. RN

[1981shafiq]

Excellent work , i really appreciate and agree with ur decision , the operating surgeon is in the best position to decide , just one critisim , why did u close the skin in the presence of intra abdominal Pus and necrosis / gangrene of kerr incision ? Dont u think her skin should have been left open ? Dr Shafiq Chughtai , Final Yr Resident Gen Surgery Holy Family Hosp Rawalpindi Pakistan

[PedroTorresMDOBGYN]

@1981shafiq Dear Dr. Chughtai, as a matter of fact it would have been better to left open the wound, we had to open it at the third day after the surgery and it closed by second intention, but the decision was taken to spare the patient and her family of the trauma of seeing an open wound. I appreciate your comments!!!

[Angryrnmedic]

@PedroTorresMDOBGYN EXCELLENT work Dr. Torres. I'm retired/disabled. Was RN over 20 years (med-surg, oncology-chemo RN, hospice, Neuro ICU, Neuro Step down, Cardiac. As a MALE nurse, I did not work in maternal child section. Thanks much for the video and teaching. Though I'm disabled, I still love to study nursing/medicines. Loved surgery though never worked there. Hope you and Dr. Chughtai will give us more video's of your work as possible. Helps me as an RN & others to learn more. Very good.

[1981shafiq]

Excellent work , i really appreciate and agree with ur decision , the operating surgeon is in the best position to decide , just one critisim , why did u close the skin in the presence of intra abdominal Pus and necrosis / gangrene of kerr incision ? Dont u think her skin should have been left open ? Dr Shafiq Chughtai , Final Yr Resident Gen Surgery Holy Family Hosp Rawalpindi Pakistan

[TheAdmiral]

I really hope that anyone launching serious criticism here at least has a medical degree. I'm not a doctor, and while I understand that doctors are people too and make mistakes, it's just as foolish to make assumptions about the practice if you have no knowledge of the field. It's been my impression that infection can be extremely serious and deadly. Aggressive treatment may lead to claims of over-zealousness, but you know if they'd been ginger and she died from it, they doctors would be blamed.

[beruang30]

omg its sooooo extensive she could've died of septic shock if the surgery wasnt performed..

i think u did an excellent job.

:)

[PedroTorresMDOBGYN]

@beruang30 Thank you!!, as a matter of fact the patient was with us for a month and she was discharged alive and healthy.

[leonscorpio19]

what went wrong that could cause the infection? Was she ok after?

[PedroTorresMDOBGYN]

@leonscorpio19 thanks for your comment, yes she was discharged alive and healty after a month in the hospital.

[caravinson]

I'd say she's fortunate to be alive.

[TheElephant79]

Is that a Human being ?

[Styxhexenhammer666]

Made me want to go order some steak

[laideehawk]

As a RN I see a lot of surgical procedures. Doctors are often "rough" like this one. The human body is amazingly resilient. That being said, I hope that young woman sued the s**t out of those surgeons for giving her that deadly infection. She's only 18 and can have no other children.

[darkness9994]

@laideehawk it wasn't their fault she got the infection. shit happens. it would have been they're fault if they did nothing. also this is the reason why anything to deal with medicine is so expensive. cause idiots like you go sue crazy

[ContinuosChange]

@laideehawk - as an RN you're a moron..... how can you be sure the nursing staff didn't give her the infection through poor wound care???? "Rough" doctors? You obviously have never worked in the OR. That is the norm- and you have to be agressive when you're trying to clear up an infection and running the bowel etc. As for how she acquired the infection- I'm still betting on the nursing staff; and by the way- I am a nurse as well. I have seen my co-workers contaminate a foley & continue..

[ContinuosChange]

@laideehawk: part 2- as I was saying, she new the catheter was contaminated but continued trying to insert it until I stopped her (she was too lazy to go and get another foley kit!!). Also saw a nurse drop the cap on the floor from a patients saline lock while flushing it, /p the patient had just received chemo...again, was going ahead with it until I made her stop & put a sterile syringe into the connector until she got a new cap! It's nurses like you that give the rest of us bad names!

[ginaven1]

You done the right thing Pedro, If it were me I would agree to the hysterectomy, she could have lost her life with out the surgery, no antibiotic would heal that infection

[PedroTorresMDOBGYN]

@ginaven1 Thanks for your comments, this was a very difficult case, when she arrived to our facilities she was septic, now she is alive and well and can raise her kid.

[mejane83]

I hope you guys got sued for malpractice!

[PedroTorresMDOBGYN]

@mejane83 We didn't performed the first surgery, as a matter of fact she arrived to our facilities deadly ill and we tried to do everything in our hands to save her uterus, but the infection was so overwhelming and the uterus was necrotic, so the only thing to do was to remove it, the legal action has no place in this case, thanks for your comment.

[ContinuosChange]

Wow, complicated case! This patient is lucky to be alive!!! Good Job!

[PedroTorresMDOBGYN]

@ContinuosChange Thanks for your comment!!!

[sparrowlightful]

Im due for my open hysterectomy on june 11, I have watched alot of hysto's here on youtube, and this looks like a horror movie. Im so thankful to have a wonderful surgical team who is performing mine.

[NessyDreams]

wow is it just me or is he realy rough? hes like digging in her n grabbing n puushing n stuff, i know dokters do thhat but still it looks realy creepy

[PedroTorresMDOBGYN]

@NessyDreams We have to do what we have to do, sometimes "roughness" saves lives. Thanks for your comments.

[TheCathyoung]

this is a pelvic abscess operation

[flipkev]

Jesus God, I don't envy your job in the slightest.

[PedroTorresMDOBGYN]

@flipkev Thanks for your comment, but I really enjoy my job, this patients need an efficient team to save their lives and thanks God I have the best team in town.

[SRGIRASHKA]

Their Like, "Put This Here And Tha....SHIT THE BOSS! STUFF IT BACK IN STUFF IT BACK IN!"

[jniebry]

Omg her poor belly!

[LadyTanika]

And this is why I pray that I don't have to get a c-section and run a risk of infection. Knowing my bum luck though... O_o

[jsaav]

very good and educative. these guys are amazing!!

[PedroTorresMDOBGYN]

@jsaav Thanks for your comments, my team is amazing.

[jlgruener]

I hope you haven't watched this! I had a ruptured appendix when I was 12 - they told me I would have died within a few days. I guess this is what the operation looked like. I thought it would be a little more precise and organized - not so haphazzard and messy! I had the drains too. They took an inch our so out each day with much discomfort. I was so glad the last day - until they pulled out about 8 inches - felt like they were pulling out my intestines like in Braveheart!

[chooch187]

@jlgruener this is not the same operation you dumbass, they are draining an abscess which is obvisouly more messy,

[MrsSarb]

ummmm.......according to the surgeon who did my surgery, he had to change his clothing during the middle of the surgery because the infection had spread so much throughout my gut.....they also had to actually take my intestines out and clean them and pour antibiotics all over them to kill the bacteria growing in my gut.....you obviously do not know what peritonitis is and I really don't appreciate being called a dumbass

[MrsSarb]

my apologies chooch: I didn't realize you were referring to someone else

[PedroTorresMDOBGYN]

@jlgruener Been there feel that, when I was 18 years old I had peritonitis secondary to a ruptured appendix, my surgeon saved my life and after that I decided to become one, but yes when the drain is removed it feels like your intestines are pulled out. Thanks for your comment.

[Andrestafurt]

i go to  cry!!!!!!!

[MrsSarb]

This is so interesting to watch and I'm glad the girl survived. I had to have an emergency hysterectomy due to a septic infection as well. I heard about the surgery and now that it has been years since I had it, it is very interesting to me to watch this. I had to have the ovaries and fallopian tubes removed as well as the greater omentum and appendix during the surgery. I also had to have a surgery in my lungs and was on life support for a month and was on many antibiotics for 6 weeks.

[wythersin]

I'm very glad you survived such a life threatening situation!!

[MrsSarb]

Thank you. I'm glad I survived too. The survival rate for septic shock and peritonitis is only 30%. I would have died if they hadn't given me a hysterectomy.

[launiquegigi]

you made it through some very extensive surgery! glad you recovered well

[MrsSarb]

thank you.....I'm glad I survived to.......medicine is amazing and I was extremely lucky

[InGodJoy]

No matter how careful you are infections can occur... there is bacteria in that region that could have been the culprit. She may have had chorio. or an underlying infection prior to the C/S. I agree better just to perform the hysterectomy and save the girls life. Very unfortunate but the physicians did a great job with the surgery.

RN

[dirtydancin196]

Oh my goodness it just seems horrific... the poor girl, how upsetting!

[Babs2bone]

An infection that bad in which a total hysterectomy was the only option left sounds like malpractice to me. The girl is only 18 years old. Someone screwed up & obviously the C-Section wasn't sterile.

Another RN

[tasaraha2009]

didnt thnk they done c sections wif a upward incision anymre...anyways that poor grl......

[drbaser]

in emergency situations midline incisions are preferred because of faster entry to the abdomen

[FallenComradelV]

man shouldnt they be more gentle?

[tanrat7]

@FallenComradelV they are as gentle as they can be doing any major surgery but im sure its not as easy to do as it looks. They have to make the incision as small as possible and reach into a small hole through the abdominal wall which is all muscles and tendons skin, etc

[PedroTorresMDOBGYN]

@FallenComradelV In this situations we canno't be gentle, we have to do what we have to do to save lives. Thanks for your comment.

[Angryrnmedic]

I was an ICU RN many years and I'd think with her H/H that low, she should have had a couple of units of PRBC's pre-op. Maybe she did and they just didn't give that detail. Also, the uterus HAD to come out, so a total is best in that case. The female will have to be put on premarin sometime anyway, and this eliminates the liklihood of ovarian cancer. I gave chemo for years and saw so many young to mid aged ladies die NEEDLESSLY if ONLY they'd had a total hyst. AND their pelvic exams. RN

[PedroTorresMDOBGYN]

@Angryrnmedic Thank you for your comments.

[louisacomer]

That poor girl.. Just watching that brought tears to my eyes and so young too. Im having a hystorectomy in 6 weeks due to several problems I have had 9 lapascopic operations and now the big one. Im 33 and had two children so I am lucky in that respect, But when you have medical problems its the best thing to do for a woman its worth it in the end .

[okiezoo]

Quite a well put together video. I appreciated the text to tell what was happening.

Why did the anesthesiologist have a hard time with her?

[MissTinkJordan]

probably maintaining her blood pressure general anastesia requires careful supervision to much and she could die from resp/cardiac arrest to little she could feel pain or possibly wake up

[PedroTorresMDOBGYN]

@okiezoo The anesthesiologist had a hard time because she was so ill that her vitals were very unstable, he did a great work. Thanks for your comments.

[gapolaks]

Those doctors did an incredible job. The girl is very lucky to be alive and to have surgeons who took a very aggressive approach. And I agree with the other nurse: that uterus was not viable. It was unlike any uterus I've ever seen!

[PedroTorresMDOBGYN]

@gapolaks Thank you for your comments.

[whatanightmare1]

@PedroTorresMDOBGYN You saved that young lady's life! Amazing video and the patient history was helpful to understand her unique case. While it is sad that a woman that young had to have that surgery, thankfully she will be alive to raise her baby, and that's what matters in the end.

[LemonWitch]

Man, that poor girl. I'm glad you guys caught this in time to save her life. Do you know what the actual cause of the infection was? Just bad luck?

[soror98]

this is not justifying lapratomy and hysterectomy the uterus looks normal and no bleeding seen and the infection can be treated with antibiotic

you extend the incision un nessesory

believe me i am in this business 15 years

what they did is disaster in 18 years lady

[PedroTorresMDOBGYN]

Dear Sir or Madam:

First of all I want to thank you for looking at this video, the intention of this videos is to expose the difficult cases I see in my practice. This case in particular was very difficult, I don't know if you are a surgeon or a gynecologist, but if you are you must know that when you have a septic abdomen you must remove the cause of the sepsis, for example this apply to an infected and perforated appendix, diverticulum or like in this particular case to a dehiscent kerr

[PedroTorresMDOBGYN]

(2nd part of reply) incision, I don't know how you do things in Saudi Arabia, but here in America we do not repair an infected, open and clearly necrotic kerr incision. As a matter of fact this girl would have died if the uterus, omentum and appendix weren't removed, after the surgery she had a triple scheme of antibiotics which proved to be useless because of the overwhelming importance of the infection and we had to start vancomicyn and ceftazidime for 14 days. We had to get her into the

[PedroTorresMDOBGYN]

(3rd part of reply) operating room two more times to drain secondary abscesses, she had had sustained 38-39 celsius degree fever for 5 days AFTER the surgery. She was discharged ALIVE and well after three terrible weeks. Here in my country we have a medical wisdom pearl that says "if you aren't in the surgeon shoes is better to save your oppinion" and I trully think that a disaster should have happened if this girl doesnt go into the OR.

[lineswine]

@PedroTorresMDOBGYN And that attitude, ladies & gentlemen, is why surgeons are regarded as some of the most arrogant people to ever walk the earth.

Q: What's the difference between God & a surgeon?

A: God doesn't think he's a surgeon.

I think the opinion (that's with ONE "p" only) of the patient is important, don't you?

[PedroTorresMDOBGYN]

By the way I'm the director and chairman of the obstetrics and gynecology department of the hospital I work in.

[sadeyeseeyore]

I'm just a floor nurse and I could see that uterus did not look viable.

[Brooke684]

PedroTorres ...

I watched this because I wanted to see the removal/drainage of the abscess. Would you answer a question for me? If you don't have time, though, I totally understand. Anyway, here it is.

If a woman has had multiple abdominal abscesses drained (without the removal of any "female parts") is it still possible for her to bear more children? I understand scar tissue, but does it automatically negate her fertility?

At any rate, thanks for posting. Interesting!

Regards,

B.

[soror98]

thanks for your effort to explain and i aplgise

for any inconvience

and the only knows is u and u college as they were there

in my practice i never failed with antibiotic and draining of abces if visulised by imaging us or mri

thanks

[estherloprey]

@soror98 Una mujer de 18 años? con este descuido de su cuerpo? La histerectomia es lo más recomendable sus genes no dben prevalecer

[ContinuosChange]

@soror98 - "in the business 15 years": does that mean your the janitor in the OR?? are you a nurse?? you are certainly NOT an MD, because you would have identified yourself as a doc!!! by the way surgery genius.... you extend the incision as much as you need, to get to the infected material / source of infection. The patient was already significantly febrile (that means she had a temperature- duh...) and was getting antibiotics. so much for your "theory"..... glad you're not a doctor!!!!!

[misteeq64]

Morphine please morphine poor baby she will have lots off pain

[salimba59]

It's terrible for her !

She's only 18 !!!! Poor, poor girl !!!

Hope she 'will have a very best husband to help her, cause there'snt word to tell how it's a pity for a women who cannot have others babies...................

Mes pensées vont vers vous car je vous comprends....

Good luck with your baby.

[Nickshark1982]

I have been cut open like this and tell you what, the healing process hurts like a mo fo!!!

[volleyballsisters]

it must have been a painful healing process for her. poor girl :(

[strek0655]

Did you incise up till linea alba or did you continue a bit further Superior?

And how long did the surgery last?

[yume09]

it looks like their being soo rough

[marixa310]

thats so sad, thats her one and only baby poor thing those other doctors that cause this are bastards, i hope she sued the hell out of them. i would! poor things and omg i almost fainted while watching this!

[TrinityGrim]

She's only 18 and had to get a hysterectomy? That's terrible. D:

[roblou62]

I know what you are saying and i'm a guy. A friend of mine (a woman) all over sudden started getting big like pregnant big. After too long she waited, and turns out it was some sort of tumor or cyst and she had to have a hysterectomy also. She never had any children at all. I felt so badly for her, but she kept her head up, came to work and talked about it. I gotta admit, when she spoke about it, I listened then when she finished....I had to go to the men's room and sort shed some tears.

[Ignantredneck]

its amazing what the human body can endure.

[velcroboy60000]

It can't really endure it, actually. They give you anesthetics before hand, and that puts your whole body to sleep. But after you wake up from being opened up like that, your whole body is in pain from the trauma it went through. I had cancer myself, and they opened me up many times, and I was always very sore afterwards.

[rubyflipper]

Im glad youre alive velcroboy60000!

[velcroboy60000]

lol.  thanks! ^^

[Klitkomandr]

.. nice fat.. eeew..

[valleyjulie]

you saved her life!

[PedroTorresMDOBGYN]

Evolution means how the patient's illness behaved and developed during time.

[cherbear22]

What do you mean by evolution?

[valleyjulie]

was the other hospital liable for this horrible infection?