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Re: adhesions at c/sFrom: David A. Nagey (dnagey@welchlink.welch.jhu.edu)Tue Sep 24 20:09:05 1996
At 07:32 AM 9/24/96 -0500, you wrote: >re: David Nagey's response to difficult adhesions at c/s."If it ain't >broke don't fix it" > >David- The problem is it is "broke". Although she did not have difficulty >conceiving, the difficulty at c/s dealing with her very dense adhesions >made the surgery both difficult and risky for the patient. I certainly >wouldn't consider preventative surgery just to pay my rent but my inquiry >relates to trying to improve this patient's surgical risk at c/s. I understand your position, but there is little to suggest that your adhesolysis will facilitate her next cesarean - you might even decrease her fertility. While I would advocate VBAC in general, if my choices were a prophylactic procedure now AND a c/s later versus just a slow, planned c/s that might not be necessary, I'll choose the latter. David
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