Re: Follow up from 3 cases

From: art fougner, md (evsono@pipeline.com)
Thu Jan 3 13:29:31 2002


Ricardo -

as a housestaff officer - i had the misfortune to scrub in on a case of pelvic TB - what a mess! adhessions would be a euphemism - no tissue planes whatsoever. i'm with el - would avoid scoping a known case of pelvic tb.

art

At Thu, 3 Jan 2002, Ricardo Savaris wrote: >
>At Thu, 03 Jan 2002, Eberhard Lisse wrote:
>>
>>Cool. But, if I considered TB in the differential I'd >rather not scope her.
>>>
>>> Why?
>>
>>Adhesions.
>>
>>el
>
>Well, El, I dont think that this is a formal contraindication. Adhesions
>is a relative one. Besides, as I learned in this forum the Hansel
>method (I remember the method, not the name :)) where we open the
>laparoscopic portals respecting the planes, instead of blindly. This
>takes some extra time, but reduce significantly the complications with
>adhesions.
>
>In this specifical case, laparoscopy is indicated.
>
>Thats my opinion, I may be wrong.
>
>--
>Ricardo Savaris, MD
>Porto Alegre - Brazil
>

--
art fougner, md
ich bin ein New Yorker




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