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Re: Cesarean hysterectomyFrom: ainsron (ainsron@sbcglobal.net)Fri Oct 14 15:18:55 2005
You certainly have an adequate reason for hysterectomy. The ultimate decision on whether or not to perform it at the time as a cesarean section rests with you and the patient. If she willing and knowingly takes the risks of doing it now vs. doing it later with another surgery, I would do it now. A scheduled c-hyst is less risky than the unscheduled c-hyst we do for complications at the time of C/S. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of rmodugno@aol.com Sent: Friday, October 14, 2005 10:48 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Cesarean hysterectomy 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 <mailto:8C79ED27C74594F-156C-1E226%40MBLK-M13.sysops.aol.com> >, rmodugno@aol.c <mailto:rmodugno%40aol.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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