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Re: uterus adhesion From: dahmd@gate.net Wed Sep 25 09:34:27 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Roberta Speyer: "Internet Use" Previous message: MNudel@aol.com: "Re: Do No Harm - the Foley" Maybe in reply to: Gordon M. Goldman: "uterus adhesion" Next in thread: Gordon M. Goldman: "Re: uterus adhesion" Reply: Gordon M. Goldman: "Re: uterus adhesion" In article AultK@obgyn-po.obgyn.uiowa.edu writes: >"what advice can listers offer to keep out of trouble at TAH? Gordon" >Bite the bullet. Do an intentional cystotomy and cannulate the ureters at >the beginning of the case. Get the base of the bladder off the lower uterine >segment while you are looking thorough your cytostomy. It seems I end >up doing this about once a year and I have never regretted it. > - Kevin Ault, MD University of Iowa I had a case earlier this year of a ruptured tubo-ovarian abscess (TOA) with uterine involvement and similar anatomic findings (bladder matted to the uterus). I did exactly what Kevin advised, and it was (apparently) minimally morbid, saved the patient from extra time on the table, and provided a way to locate the ureters. Since the right ureter was involved in the TOA, the ureteral catheters helped with that part of the case. I certainly did not regret it! Ashley D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net Next message: Roberta Speyer: "Internet Use" Previous message: MNudel@aol.com: "Re: Do No Harm - the Foley" Maybe in reply to: Gordon M. Goldman: "uterus adhesion" Next in thread: Gordon M. Goldman: "Re: uterus adhesion" Reply: Gordon M. Goldman: "Re: uterus adhesion"

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