Re: BTL in Pregnancy
From: Efrain Ramirez (eramirez@icepr.com)
Thu Jan 20 18:02:02 2000
Where are you from?
At Thu, 20 Jan 2000, dr. ghel wrote:
>
>Patient was opened, the uterus is enlarged, the left adnexa grossly
>normal, the right ovary measures 5 cm x 4 cm with actively pinpoint
>bleeding, hemoperitoneum approx. 80 to 100 cc, appendix grossly normal.
>We did not do the BTL after thorough explaination to the husband. In
>such a case, especially if the pregnancy is not planned, doesn't matter
>if it goes to term or not, can we do a BTL if strongly desired by the
>couple? Couldn't find it in the book. By the way patient was placed on
>Isoxsuprine drip, presently no subjective complains and no evidence of
>threatened abortion.
>Can we do BTL during laparotomy with intact early gestation?
>thank you very much.
>
>At Thu, 20 Jan 2000, Braun, R. Daniel wrote:
>>
>>So what did you find?
>>
>>Dan
>>
>>R. Daniel Braun, MD FACOG
>>Clinical Professor
>>Department of Obstetrics and Gynecology
>>Indiana U. School of Medicine
>>Indianapolis, IN 46202
>>
>>OBGYN.net
>>International Representative for United States
>>
>>Certified AllExperts Expert
>>Check out my bio/ratings page!
>>http://www.allexperts.com/displayExpert.asp?Expert36
>>
>>-----Original Message-----
>>From: amt104@hotmail.com [mailto:amt104@hotmail.com]
>>Sent: Thursday, January 20, 2000 7:30 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: BTL in Pregnancy
>>
>>Thanks for the commnet, but the patient presented as an acute abdomen.
>>She was previously admitted for hypogastric pain, she was closely
>>observed and was discharged asymptomatic (3 days), and she came back
>>after a week with severe hypogastric pain and with bilateral adnexal
>>tenderness, no vaginal bleeding.
>>
>>At Thu, 20 Jan 2000, Braun, R. Daniel wrote:
>>>
>>>The tubal shouldn't be any problem once you are there. What is forcing you
>>>to get there? You didn't say anything about hemodynamic instability just
>>>pain and a small amount of fluid in cul-de-sac. I think I would observe
>>>closely.
>>>
>>>Dan
>>>
>>>R. Daniel Braun, MD FACOG
>>>Clinical Professor
>>>Department of Obstetrics and Gynecology
>>>Indiana U. School of Medicine
>>>Indianapolis, IN 46202
>>>
>>>OBGYN.net
>>>International Representative for United States
>>>
>>>Certified AllExperts Expert
>>>Check out my bio/ratings page!
>>>http://www.allexperts.com/displayExpert.asp?Expert36
>>>
>>>-----Original Message-----
>>>From: amt104@hotmail.com [mailto:amt104@hotmail.com]
>>>Sent: Thursday, January 20, 2000 5:18 AM
>>>To: Multiple recipients of list OB-GYN-L
>>>Subject: BTL in Pregnancy
>>>
>>>A 38 y/o G5P4(4004) at 8 wks AOG admiited for hypogastric pain.
>>>Transvaginal ultrasound reveals an intact intrauterine pergnancy, cystic
>>>right ovary, minimal cul de sac fluid.
>>>
>>>Patient is for explor lap, to consider bleeding corpus luteum cyst,
>>>requested sterilization, doesn't matter for her if she aborts or not.
>>>
>>>In this kind of situation, can bilateral tubal ligation be done, knowing
>>>all the effects of pregnancy to the pelvic organs?
>>>
>>>Your expert opinions please.
>>>
>>>thank you.
--
"The things you learn after you know everything are the important ones"
