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Re: Degenerated fibroid and pregnancy From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Thu May 31 06:21:21 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: LAVH - was: GYN: LSH vs. LAVH" Previous message: Griffiths Malcolm: "Re: Degenerated fibroid and pregnancy" Received: from hermes.iupui.edu (hermes.iupui.edu [134.68.220.31]) by mail.medispecialty.com (8.9.3/8.9.3) with ESMTP id GAA30206 for <ob-gyn-l@obgyn.net>; Thu, 31 May 2001 06:21:19 -0500 Received: from iupuismtp02.uits.iupui.edu (iupuismtp02.uits.iupui.edu [134.68.220.108]) by hermes.iupui.edu (8.9.3/8.9.3/IUPUIPO.20010306) with ESMTP id GAA00451 for <ob-gyn-l@obgyn.net>; Thu, 31 May 2001 06:21:18 -0500 (EST) Received: by iupuismtp02.uits.iupui.edu with Internet Mail Service (5.5.2653.19) id <GJ3D1RZF>; Thu, 31 May 2001 06:21:18 -0500 Message-ID: <916D2E5312EED311B98300508BC2179801C0AD3B@iupuimbx05.uits.iupui.edu> From: "Braun, R. Daniel" <rbraun@iupui.edu> To: "'ob-gyn-l@obgyn.net'" <ob-gyn-l@obgyn.net> Subject: Re: LSH vs. LAVH Date: Thu, 31 May 2001 06:21:17 -0500 MIME-Version: 1.0 X-Mailer: Internet Mail Service (5.5.2653.19) Content-Type: text/plain Morcellate!!!!!!!!!!!!???????????????????? Dan -----Original Message----- From: garrys@mindspring.com [mailto:garrys@mindspring.com] Sent: Wednesday, May 30, 2001 7:07 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: LSH vs. LAVH I have a 46 YO with 14 week fibroids, who is having her planned hyst tomorrow. This has been discussed ad nauseum in the office, and the date was set last fall. Because her uterus was 14 weeks clinically, I did not feel that I could do a TVH, and she wanted to avoid a TAH. Thus, she's been on lupron, and I'm planning an LAVH/BSO (she requests the BSO). We sat down to talk yesterday, and I kicked around a LSH with her. I then went over the supposed advantages and disadvantages, and her concerns centered around the possibility of pain with cervical retention, versus the possible benefit of retention such as pelvic relaxtion, sexual function, etc. Factors such as the need for paps, OR time, recovery time were nonfactors to her--her concern was long term. For the sake of discussion, we pretty much didn't worry about cervical cancer, either, as she has a negative history, is low risk, and has had normal paps forever. How do you counsel patients on LSH (laparoscopic supracervical hyst) versus LAVH? Does anyone have any references to compare long term outcomes (I'm going looking, too), especially given that both procedures are relatively new, especially the LSH? Garry PS--this patient is going to do an LAVH, mainly because that is what she has had in her mind for months. -- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice Next message: Braun, R. Daniel: "Re: LAVH - was: GYN: LSH vs. LAVH" Previous message: Griffiths Malcolm: "Re: Degenerated fibroid and pregnancy"

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