-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: How to approach a case From: Larry Glazerman (l.glazerman@rcn.com) Mon Aug 21 12:30:14 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: cost of medical care" Previous message: Efrain Ramirez: "Re: Gyn: How to approach a case" In reply to: ainsron: "Re: How to approach a case" Next in thread: Efrain Ramirez: "Re: Gyn: How to approach a case" I don't do TAH's anymore - I'd an LSH or TLH. No indication, IMHO for either TAH or for LAVH - if you can't do the whole case vaginally (which I'd doubt in this case, do the whole case laparoscopically. -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC larry.glazerman@lvh.com -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron Sent: Monday, August 21, 2006 10:08 AM To: Multiple recipients of list OB-GYN-L Subject: Re: How to approach a case Why not start with LAVH/BSO and convert to laparotomy - Pfannensteil incision- if necessary? Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Sunday, August 20, 2006 8:00 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: How to approach a case 40 YO P1001, insulin requiring diabetic, was hospitalized by her FP 3 weeks ago with a febrile illness, and likely had bilateral small TOAs or at least hydrosalpinges on CT. I saw her a couple of days after admisssion, and she gave a vague but convincing story of prior problems with cysts treated with antibiotics, and maybe an infection. Long story short, she sounds like chronic PID with an exacerbation, likely worsened/complicated by IDDM. A follow-up CT at discharge (the FP ordered it) showed bilateral 3 or 4 cm. hydrosalpinges. She is of normal build, and her exam recently was pretty benign--she was markedly less tender, a retroverted, normal sized uterus and no masses. I am planning a TAH-BSO soon, and plan a bowel prep. What type of incision would you make? Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Larry Glazerman: "Re: cost of medical care" Previous message: Efrain Ramirez: "Re: Gyn: How to approach a case" In reply to: ainsron: "Re: How to approach a case" Next in thread: Efrain Ramirez: "Re: Gyn: How to approach a case"

Return to

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: Thu Oct 2 04:54:13 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.