Re: Uterine fundus perforation

From: Efrain Ramirez (eramirezt@coqui.net)
Sat Jan 28 19:11:22 2006


Elective C/S

Ef

>At Sat, 28 Jan 2006, rmodugno@aol.com wrote:
>
>>From the Physician Discussion Board on Medscape. Incredible - I'm not sure why the surgeon didn't do open laparoscopy:
>
>UTERINE FUNDUS PERFORATION DURING PREGNANCY
>Topic created Jan 03, 2006 by farahneh
>I have 27ys second gravida, para 1,normal vaginal birth before 3 years. At 25 weeks of current pregnancy, she had laparoscopic cholecystectomy during which the fundus of the uterus was injuried with the 10mm trocar and the laparoscope was introduced in the uterine cavity, there was leakage of amniotic fluid and fetal parts,umbilical cord and plancenta were visualized. The operating surgeon changed the site of tracar and cholecystectomy was cmpleeted. The puncture at the fundus was observed, little oozing which stopped spontanously after few minutes, but amniotic fluid lekage continued and eventually stopped. She is under my care now. US examination a week later, amniotic fluid is reaccumlating and fetus alive. Any suggestions for care and mode of delivery.Thanks.
>
>+++++++++++++++++++++++++++++
>
>Robert Modugno MD MBA FACOG
>Marietta, GA

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Jul 2 04:42:21 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.