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Re: uterus adhesionFrom: Paulo Barrozo, M.D. (barrozo@ibm.net)Wed Sep 25 18:44:07 1996
At 22:54 24/09/96 -0500, you wrote: > >Had a startling discovery on L/S last week. 36 y/o WMF w/two C/S in past >now has menorrhagia and enlarging myomatous uterus confirmed by serial >U/S. H/S w/D&C shows capacious cavity w/o extrinsic impingement from >multiple myomata (sounds to 14cm.). Disordered prolif. E/M on path. On >L/S, the large uterus is firmly adeherent to the anterior abdominal wall >with dense adhesions. Can't identify any structures in anterior space. >Will try to treat menorrhagia medically, but if pain and further growth >continue, what advice can listers offer to keep out of trouble at TAH?
>Gordon Even in this large uterus, if you need a surgical treatment, why not try a endometrial ablation ? It is very safe, and a skilled hysteroscopic surgeon can do it after 2 or 3 months of Lupron.
-- ======================================================= Dr. Paulo R. M. Barrozo, MD, TEGO, TCBC. Clinica Santa Helena - Head of Ob-Gyn Dept. Secretary of Brazilian Society of Laparoscopic Surgery Cabo Frio - Rio de Janeiro - Brazil barrozo@ibm.net =======================================================
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