Re: Cervical erosion

From: Braun, R. Daniel (rbraun@iupui.edu)
Fri Apr 21 14:08:52 2000


R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

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-----Original Message----- From: Paul Prior MD [mailto:pprior@earthlink.net] Sent: Friday, April 21, 2000 1:32 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical erosion

On Fri, 21 Apr 2000 09:48:16 -0500, "Braun, R. Daniel" <rbraun@iupui.edu> wrote:

>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???

1) "significant risk to their life" - is this supposed to mean local anesthesia??

I would assume that if youa re taking them to the OR because they won't hold still for local anesthesia in the office, that you would use general in the OR.

Keep in mind this response was to the perosn who listed 5 reasons for taking them to the OR and I was pointing out that most of them could be done as cryo in the office instead of General in the OR.

2) It seems more than just a PITA - adequacy of colpo after cryo seems to be a problem.

Keep in mind I do all my LEEPs in the office. Never done one in the OR except when as a resident one of the groups didn't own a machine.

--
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