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Re: Ehlers-Danlos & Hysterectomy From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Fri Jul 26 09:06:31 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jesús: "adenocarcinoma de vías billiares y gestación" Previous message: Joanne Bulley, MD: "FRI: Being a Parent" In reply to: Mark Perloe: "Ehlers-Danlos & Hysterectomy" Next in thread: freda: "Re: Ehlers-Danlos & Hysterectomy" This might be the case to do a cadaveric fascia laparoscopic sacro-colpopexy. -- Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Mark Perloe Sent: Wednesday, July 24, 2002 9:12 PM To: Multiple recipients of list OB-GYN-L Subject: Ehlers-Danlos & Hysterectomy I have a 32yo woman with Ehlers-Danlos who underwent laparoscopy in April 2002 for pelvic pain. She had a past history of endometriosis. Disease was found and her pain was relieved after surgical excision. She has recently developed dyspareunia. Exam now shows the uterus to be posterior, where previously it had been anterior! The uterosacral ligaments are not tender, but the fundus has one 1.5 cm area of point tenderness with the US probe which correlates with an area of adenomyosis and reproduces her dysparenia. In a woman without her history who desired fertility preservation, I would likely do a suspension procedure. But with ED, I wonder if a suspension would hold. As far as hysterectomy, I wonder if there is an issue regarding the integrity of the vaginal cuff. My thought was to preserve the cervix as the culdesac was endo free and do a supracervical hysterectomy. Anyone have any experience regarding the use of various sorts of energy to deal with pedicles? Mark Perloe, M.D. Georgia Reproductive Specialists <http://www.ivf.com/> 5445 Meridian Mark Rd, Suite 270, Atlanta, GA 30342 404-843-2229 Live Chat Monday evening <http://www.tcoyf.com/mytcoyf/login.asp> s 8:00-9:00 p.m. ET Next message: Jesús: "adenocarcinoma de vías billiares y gestación" Previous message: Joanne Bulley, MD: "FRI: Being a Parent" In reply to: Mark Perloe: "Ehlers-Danlos & Hysterectomy" Next in thread: freda: "Re: Ehlers-Danlos & Hysterectomy"

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