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Re: B-lynchFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Mon Feb 18 10:52:14 2008
At Mon, 18 Feb 2008, FRANCES WREN wrote: > >----56b99637278a11804bb >Content-Type: text/plain; charset=us-ascii >Content-Disposition: inline >Content-Transfer-Encoding: 7bit > >been thinking re B-lynch sutures, and have only had to do that 3 times...no asherman's to follow as far as I could detect. >but considering the assaults we do on uterii...d'and C's, polypectomies...terminations...manual removals of palcenta etc..various scraings , rubbings and scratching...there are hardly any examples of asherman's syndrome... >so i expect that B-lynch would not be followed any more frequently by that that other adhesion-type making raw srapey areas!!!! >thoughts and opinions please..no evidence based nos for this I think....and probably no eminence stuff either...simply theoretical I expect. >frances wren > Frances high Asherman's has definitely been reported retrospectively with B-lynch. And it makes anatomical and physiological sense; you are basically using mechanical external compression. Personally I think B-lynch results look good because it’s a last resort after other measures, the other measures probably starting to work are part of its success. We are once again back to the Eminence vs. Evidence argument.
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Take care, John
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