Re: Gyn: Trachelectomy
From: R. Daniel Braun (rd.braun@gmail.com)
Thu Dec 29 05:33:43 2005
Or at least, part of it.
Dan
On 12/27/05, Richard Chudacoff, MD <rchudacoff@mylinuxisp.com> wrote:
>
> You can also use a LEEP to remove the cervix.
>
> Richard Chudacoff, MD, FACOG
>
> ------------------------------
>
> ------------------------------
> *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of *
> ------------------------------
> RModugno@aol.com
> *Sent:* Monday, December 26, 2005 1:35 PM
> *To:* Multiple recipients of list OB-GYN-L
> *Subject:* Re: Gyn: Trachelectomy
>
> In a message dated 12/26/2005 2:03:37 P.M. Eastern Standard Time,
> garrys@mindspring.com writes:
>
> Does anyone have any experience/hints/advice?
>
> I am likely facing a trachelectomy on a 29 YO 2002 who has chronic
> pelvic pain and dyspareunia subsequent to a subtotal hysteretomy and
> unilateral S and O in 2/05 (the other tube and ovary had previously been
> removed).
>
> There is no detail in the operative report regarding the findings.
>
> She had her children vaginally.
>
> To make a long story short, I am likely to do a joint operative
> laparoscopy after bowel prep with a general surgeon, to look for (and
> correct) any adhesive disease, remove the appendix (around here, the
> surgeons do that) and then tackle the cervix via a vaginal/laparoscopic
> route, or open her if needed.
>
> Thanks
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>
> Sounds like someone who will continue to have pelvic pain no matter what
> you do.
>
> The "simple" approach would be to do a trachelectomy vaginally - just like
> a vag. hyst without the fundus!.
>
> My 2 cents.
>
> Robert Modugno MD MBA FACOG
>
> Marietta, GA
>
--
R. Daniel Braun
Kinky for Governor
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