Re: Clinical Case

From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Jul 11 16:19:42 1997


teodoro@chilesat.net wrote: >
> 24-year old patient who has a mioma wich involves the cervix in its superior lip and the itsmo. The diameter is about 9cm
> My doubt is wether to debulk: by laparotomy or by way of the vagina.
> My pacient needs a minimal risk operation, since she´s never giving
> birth; so I would like to know the safest way to operate in order to leave
> her fertile.
--

The question is: to operate or not to operate. What is the risk of leaving things like that and waiting a pregnancy. You'll have to perform a C-section at that time, so what? If you decide to operate on I think a laparotomy would be more convenient knowing the size and the localization of this fibroid.

--

Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm





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