Re: Granulation tissue?

From: Ronald Ainsworth (ainsron@sbcglobal.net)
Thu Aug 25 20:30:46 2005


I've seen granulation tissue several years after a hysterectomy. Most of the patients I've seen hadn't followed up to be sure that their cuff had healed competely and didn't return until it was symptomatic, i.e, postcoital bleeding, discharge or pain. If she had her tubes and ovaries left, could be tubal prolapse. Like Effrain said, you can easily biopsy it if you are concerned about what it is. If you feel strongly that it is granulation tissue, cauterize it with AgNO3 swab, Monsel's solution, or freeze it. If it goes away you've not only made the diagnosis, you have cured it.

"Dr. Rupak Ranjan Roy" <rupakroy1@dataone.in> wrote:Thinking about it.

Dr. Rupak Ranjan Roy MRCOG

>----- Original Message -----
From: "Efrain Ramirez" To: "Multiple recipients of list OB-GYN-L" Sent: Friday, August 26, 2005 6:24 AM Subject: Re: Granulation tissue?

> Do a biopsy..
>
>>At Thu, 25 Aug 2005, Dr. Rupak Ranjan Roy wrote:
>>
>>Forty six year old woman; I did a straight forward abdominal hysterectomy
>>for symptom producing multiple fibroids, nearly two and half years ago.
>>Perfectly okay till now. Came the other day for vague lower abdominal
>>pain.
>>Could not find anything abdominally. There was a small, area of scarring
>>on
>>the vaginal vault that was tender (not too bad, but a speculum hurts) and
>>bled a tiny bit when touched by the speculum blade. Looks like granulation
>>tissue.
>>
>>Can granulation tissue develop this late after a hysterectomy?
>>
>>Dr. Rupak Ranjan Roy
>>MRCOG
>
> --
> "Character may be manifested in the great moments, but it is made in the
> small ones."
>
> - Phillip Brooks
>
> ~walt whitman~
>





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