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Re: Cervical erosion From: Efrain Ramirez (eramirez@icepr.com) Thu Apr 20 21:51:20 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry Siegel: "OB: Vacuum versus Forceps in Premies" Previous message: Garry Siegel: "Re: Cervical erosion" In reply to: Garry Siegel: "Re: Cervical erosion" Next in thread: John Robertson MD: "Re: Cervical erosion" I have never done a LEEP at the OR - must have been lucky - seems to me there is no need to unless you are going to do a cold cone bx. At Thu, 20 Apr 2000, Garry Siegel wrote: > >Zach: > >I usually decide at the colposcopy whether I think the patient could >handle an office LEEP or not. I usually tell them that an office LEEP >(if necessary pending pathology) is a bit worse than the colpo, so if >that was bad, then let's go to the OR. > >In general: > >1. Nullips to the OR, especially if younger. >2. Multips in the office, but if they've not delivered vaginally, >sometimes the OR is necessary. >3. CIS, positive ECC--OR to get a high endocervical "top hat" piece >4. Any difficulty in exposure due to discomfort, hypoestrogenism, >obesity--OR >5. Poor vibes--OR > >When we all first started LEEPing, I, for one, did a couple in the >office that I wished I had in the OR. With apologies to El, life is too >short to sweat bullets in the office. > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- "The things you learn after you know everything are the important ones" Next message: Garry Siegel: "OB: Vacuum versus Forceps in Premies" Previous message: Garry Siegel: "Re: Cervical erosion" In reply to: Garry Siegel: "Re: Cervical erosion" Next in thread: John Robertson MD: "Re: Cervical erosion"

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