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Re: Cervical erosionFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Apr 21 09:46:10 2000
And cryo which works just as well. can be done in the office on the vast majority of these patients you mentioned without anesthesia. Removing a large cost and in many of these patients a significant risk to their life. All because it is a PITA to do a colpo on someone who has had a cryo??? 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?Expert=1236 -----Original Message----- From: garrys@mindspring.com [mailto:garrys@mindspring.com] Sent: Thursday, April 20, 2000 9:48 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical erosion 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
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