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Re: "Nerve Entrapment"From: Frances Wren (fwren@shaw.ca)Fri Sep 14 08:54:09 2007
can't say I have ever thought of ...or diagnosed nreve entrapment a few days post surgery... and I cannot quite think what onw would do to "diagnose"...or "rectify " it a few days post op ...in the O????????? I too would be interested in any other ideas re this diagnosis???? frances wren MD FRCS I sometimes think we just come up with things...ie "diagnoses" based on our hopeful imaginatio at least i have been known to....in desperation...things that sound kind of correct...and unencumbered by real fact, I must admit.
> ----- Original Message ----- Listers, Over the past couple of weeks, in our facility, there have been two patients who have been taken back to the OR following a cesarean section, for "nerve entrapment" in the cesarean incision, causing severe pain. Maybe it is because I have only been doing this for 19 years, not counting residency, but I have never heard of this. As a matter of fact, I think I can say that "nerve entrapment" wouldn't even enter my differential for severe pain following a cesarean section. Can someone enlighten me here - has anybody else heard of this. Distant from any surgery, following scar formation, with significant, persistent incisional pain, I have considered "nerve entrapment", but not in the first few days following surgery. Lynn Lynn D. Montgomery, M.D. Obstetrics & Gynecology, Maternal-Fetal Medicine The Birth Center/Rocky Mountain Women's Health 1211 S. Reserve St. Missoula, Montana, 59801 406-549-0978 fax 406-549-0987 e-mail: apgar10@thebirthcentermt.com ------------------------------------------------------------------------------ ------------------------------------------------------------------------- -- ------------------------------------------------------------------------- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.487 / Virus Database: 269.13.16/1005 - Release Date: 9/13/2007 11:45 AM
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