Re: endometriosis in C/S scar
From: Ricardo Savaris (ricardosavaris@hotmail.com)
Tue Jul 30 08:58:00 2002
I would scope her after explain her the pro/con, after discuss the pro/con
with her. She will decide with you
Ricardo
>----- Original Message -----
From: "Braun, R. Daniel" <rbraun@iupui.edu>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com>
Sent: Tuesday, July 30, 2002 10:47 AM
Subject: Re: endometriosis in C/S scar
>
> Yes, but should we also look in the peritoneal cavity to see if there is
any there in an assymptomatic patient?
>
> Dan
> -----Original Message-----
> From: Ricardo SavarisTo: Multiple recipients of list OB-GYN-L
> Sent: 7/30/2002 8:34 AM
> Subject: Re: endometriosis in C/S scar
>
> Daniel,
>
> Although asymptomatic, I believe that you should burn the endometrial
> spots and remove the endometrioma from the scar. I read (don't recall
> where) that all GnRH treatment are palliative and surgery seems to be
> the best treatment.
>
> That's my opinion
>
> Ricardo Savaris, MD
> Porto Alegre - Brazil
>
>> ----- Original Message -----
> From: Braun, R. Daniel <mailto:rbraun@iupui.edu>
> To: Multiple recipients of list
> <mailto:ob-gyn-l@mail.medispecialty.com> OB-GYN-L
> Sent: Tuesday, July 30, 2002 10:22 AM
> Subject: endometriosis in C/S scar
>
> Patient is 30 ish G 3 P 3003 all cesarean sections. Had tubal at time of
> last section. Presents with a 2X3X4 cm lump at the right end of her C/S
> incision. It swells and becomes tender about the time of her period. No
> other symptoms at all. The question becomes one of "Since she has endo
> in her incision, does she have a likelihood of intraperitoneal endo, and
> if so, should we do a diagnostic scope at the time of excision of the
> scar endometrioma? If we do and we find endometriosis in this
> asymptomatic patient, what should we do about that?
>
> I would like to heart a lot of opinions. We had a bunch in our morning
> report.
>
> Dan
>
