Re: Failed tubal ligations
From: art fougner, md (evsono@pipeline.com)
Tue Feb 13 06:07:24 2007
Good job!
Art
At Tue, 13 Feb 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>
>So...for her preop yesterday I scanned her and saw what I thought was a
>dilated tube on the left. No gestational sac, but the closest thing
>I've seen to a sign of ectopic yet.
>
>After my comment to Dan about scanning patients yourself and not
>mistaking sides, I feel bad to say that when I got to the OR it did look
>like a distal RIGHT sided ectopic. The distal end of the proximal
>portion had the lumen nearly completely exposed. It looks like it had
>been prepped for a tubal anastamosis! The corpus luteum was also on
>that side, so it all would seem to make sense.
>
>Both distal tubes came out. The promixal stumps were cauterized. I did
>a D&C just for completeness. Probably overkill based on the laparoscopy
>finding.
>
>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
>
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>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Monday, February 12, 2007 2:24 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Failed tubal ligations
>
>If you think ECTOPIC, Refer.
>
>Art
>
>At Sun, 11 Feb 2007, Kris Bagiu, CPM, RM wrote:
>>
>>Andrew Folley wrote:
>>> 50/50 chance following tubal ligation that + pregnancy test will be
>>> ectopic. Check TVUS when HCG is above 1500 to 2000 if not
>gestational
>>> sac assume ectopic OR if titers rising slowly do endometrial sampling
>>> looking for chorionic villi suggesting a nonviable intrauterine
>gestation.
>>
>>Got it. Thank you, that answer wraps up everything nicely.
>>
>>Kris
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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