Re: Post Partum BTL

From: Richard Kaplan (rkaplan@triad.rr.com)
Tue Feb 27 18:47:07 2007


About 6 months ago I had to abandon a post partum BTL on an obese patient who was close to 36 hours post delivery because her fundus had involuted to the point where I could not palpate it or find the tubes through my subumbilical minilap incision. This morning I cancelled a BTL on another obese patient 24 hours post partum when her fundus palpated well below the umbilicus (14-16 wks.) and I was afraid that I would have the same problem. She was happy to schedule a laparscopic procedure in 5 weeks. My partners think I'm a woos. Have any of you had similar experiences?

--
Richard Kaplan




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