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Re: Failed tubal ligationsFrom: ainsron (ainsron@sbcglobal.net)Fri Feb 9 08:57:16 2007
I would scope her, treat the ectopic and redo the tubal. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Friday, February 09, 2007 3:26 AM To: Multiple recipients of list OB-GYN-L Subject: Failed tubal ligations I have a gal that I did a c-section tubal on 8 months ago (with path specimens showing tubal segments) that now has a positive home pregnancy test. Repeat quants have been 191, 282, and 390 at 48 hr intervals. Pt is without symptoms. My presumption is that this is an ectopic based on the history and the abnormally rising quants. My plan would be to give her methotrexate now to treat the ectopic. When you any of you consider doing l/s to repeat the tubal? Now? 6 weeks? Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer.
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