Re: Cesarean hysterectomy

From: rmodugno@aol.com
Fri Oct 14 12:46:43 2005


She has pain with her fibroids requiring narcotics during her pregnancy and has been symptomatic in-between pregnancies. Doing a TAH 6 months postpartum will be her 4th laparotomy.

Robert Modugno MD MBA FACOG Marietta, GA

-----Original Message----- From: Dr Eberhard W Lisse <el@lisse.NA> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Fri, 14 Oct 2005 08:42:10 -0500 Subject: Re: Cesarean hysterectomy

In message <8C79ED27C74594F-156C-1E226@MBLK-M13.sysops.aol.com>, rmodugno@aol.c om writes:

> Patient 35 years old. 2 previous cesareans. Symptomatic fibroids,
> multiple wi th last pregnancy and this. Last cesarean section: multiple
> fibroids in upper portion of lower uterine segment. Largest 6 cms.
> Would any of you contemplat e a Cesarean hysterectomy on this patient?

No! Why? She gets a Parkland's though.

> Or should we send her for UAE if f ibroids continue to be symptomatic
> after this pregnancy?

Well, we don't have UAE here so I would do the TAH after she stopped breastfeeding or after six months, whatever is later.

greetings, el





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