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Re: Vaginal Birth after uterine perforation?From: ainsron (ainsron@sbcglobal.net)Thu Aug 9 11:02:34 2007
And hysteroscopic resection implies use of unipolar current which can give a zone of tissue destruction extending a significant distance from the operative site. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Wednesday, August 08, 2007 8:05 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Vaginal Birth after uterine perforation? In a message dated 8/8/07 9:18:16 PM, eramirezt@coqui.net writes: CASE: A 29-year-old woman had a hysteroscopic uterine septum resection. This was complicated by a small fundal puncture. In the ensuing Top of Abstract pregnancy, uterine rupture occurred at 33 weeks and resulted in neonatal mortality and maternal morbidity. Not completely on point. One could reason that a uterine septum would indicate an abnormal uterus and uterine contour. So this would not DIRECTLY apply to a normal uterus, anatomically, with a single puncture from a curette. Joe P.
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