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Re: Patent cervical stump post laparoscopic supracervical hyst From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Fri Jun 1 19:08:22 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Harmony HMO" Previous message: rmodugno@aol.com: "Re: 'nuther one" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Patent cervical stump post laparoscopic supracervical hyst" This sounds like the spontaneous discharge of a haematoma that has finally liquefied. Within a few days it should stop spontaneously. I wouldn't be worrying about it. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Friday, 1 June 2007 8:21 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Patent cervical stump post laparoscopic supracervical hyst At Thu, 31 May 2007, Diana Saari MD wrote: > >Painful Scope supracervical hyst for 1.2 pound uterus. > >All fine BUT continues to have port-wine color vaginal flow. Did a >cystourethrogram, and no insult to renal system, so now think >peritoneal fluid is in free-flow out of the cervix. I could tell that >after amputation of the uterus the cervix was gaping, and even cautery >didn't help. > >Have considered cautery, direct stitch to the cervical stroma in a kind >of purse-string, or a really Shrodkar-like stitch, but I don't know if >the latter would be enough to prevent fluid from flowing through. >Funny enough, the patient's asked me to talk to her sister's doctor >before considering suture, as her sister had a 'reaction' to suture >post C-Section (yes, my patient's own incisions are closed with 4.0 >vicryl and no complaint yet!). > >Much obliged if any one has ideas or has had a similar experience. > >-- >Diana Saari MD FACOG >guto0002@tc.umn.edu >University Specialists in Women's Health Minneapolis, MN > Sorry does not make sense to me, peritonium closes in 48 hrs, one possibility would be fallopian tube stuck on cervical stump, trans vag U/S may help. Residual endometrium should give cyclic bleeding. How big was the stump small fibroid may still be in the cervix. Even if cervix was dilated stump will go back to normal in 3-6 months. -- Take care, John CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: DoctorJoe@aol.com: "Re: Harmony HMO" Previous message: rmodugno@aol.com: "Re: 'nuther one" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Patent cervical stump post laparoscopic supracervical hyst"

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