Re: :elvic AP Surgery- question

From: ainsron (ainsron@sbcglobal.net)
Mon Sep 19 20:44:46 2005


There was a good article in the December Green Journal on grafts in posterior repairs. The author suggested that they are probably better than the classical way we've done posterior repairs, when combined with site specific repairs. He also felt that there is much lacking in the literature.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Monday, September 19, 2005 5:30 PM To: Multiple recipients of list OB-GYN-L Subject: Re: :elvic AP Surgery- question

Do you think it is becoming more and more common practice to adjunct the traditional AP repair (Kelly plication sutures with vicryl etc) with the use

of some type of mesh for permanence and improved support? What is everyone doing or using? I am leaning more and more toward polypropylene mesh (BARD)

and use of 2-0 Nylon to secure it in place. andrew

>From: "Andrew Folley" <agfolley@hotmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: von Willebrand's
>Date: Mon, 19 Sep 2005 18:57:41 -0500
>
>Agree, recall that one treatement regimen for severe hemorrhage in
>adolescents is use of IV estrogen 25mg q 4 hours. for 6 doses. andrew
>
>>From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: RE: von Willebrand's
>>Date: Mon, 19 Sep 2005 18:13:16 -0500
>>
>>She needs oestrogen not progesterone. Use a 50 mcg pill for three
>>cycles, then put her on a low progestagen pill. Mirena will probably
>>have the same effect as the Seasonale.
>>
>>Steve Raymond
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Diane
>>Petersen
>>Sent: Tuesday, 20 September 2005 8:43 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: von Willebrand's
>>
>>I recently saw a young lady ( 16-year-old) with mild type 1 von
>>Willebrand's disease. She has been treated with oral contraceptive
>>pills. She started with Seasonale but developed breakthrough bleeding.
>>She was switched to a variety of OCP's with continued breakthrough
>>bleeding. The most recent change placed her on 35 microgram estrogen
>>OCP but she is requiring two pills per day to control her bleeding.
>>
>>--
>>Diane E.B. Petersen, M.D.
>>
>>Tasmania Together 5 Year Review: Have your say
>>http://www.tasmaniatogether.tas.gov.au/
>>
>
>_________________________________________________________________
>On the road to retirement? Check out MSN Life Events for advice on how to
>_________________________________________________________________
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>





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