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Re: endometriosis in C/S scar From: Gerald P. Rodriguez (geraldpr@cybermesa.com) Tue Jul 30 09:04:39 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: gynendohaiti jean louis: "Re: endometriosis in C/S scar" Previous message: Ricardo Savaris: "Re: endometriosis in C/S scar" Maybe in reply to: ivankklee: "endometriosis in C/S scar" Next in thread: gynendohaiti jean louis: "Re: endometriosis in C/S scar" Been doing them for 30 years; occasionally under general if hard to define. Try to do them during the luteal phase so that I have a fairly good idea of how big they are. Never have used mesh; never had a hernia--that I know of (☺). Gerald P. Rodríguez, M.D., FACOG Santa Fe >----- 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 7:54 AM Subject: Re: endometriosis in C/S scar > How many of these have you done under local ? My experience is that they are at least twice as big as thought and require placement of mesh to close. > > Dan > > -----Original Message----- > From: Gerald P. RodriguezTo: Multiple recipients of list OB-GYN-L > Sent: 7/30/2002 8:41 AM > Subject: Re: endometriosis in C/S scar > > Yes, she has a chance of having endometriosis in the pelvis, appendix, > etc. Since you say she has no other symptoms, I would resect what is > likely a endometrioma in her C/S scar under local, if the patient is > amenable to local, and leave well enough alone. > > Gerald P. Rodríguez, M.D., FACOG > Santa Fe > >> ----- 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 7:21 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 > Next message: gynendohaiti jean louis: "Re: endometriosis in C/S scar" Previous message: Ricardo Savaris: "Re: endometriosis in C/S scar" Maybe in reply to: ivankklee: "endometriosis in C/S scar" Next in thread: gynendohaiti jean louis: "Re: endometriosis in C/S scar"

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