Re: endometriosis in C/S scar

From: Braun, R. Daniel (rbraun@iupui.edu)
Tue Jul 30 09:11:36 2002


The only thing this lady has is a lump in her C/S scar andno other symptoms. I agree surgery with excision of hte endometrioma and repair of fascia with mesh is the best way to go.

Dan

-----Original Message----- From: gynendohaiti jean louisTo: Multiple recipients of list OB-GYN-L Sent: 7/30/2002 8:58 AM Subject: Re: endometriosis in C/S scar

If there is no contrindication to use the GNRH in this patient I would do so for a couple of month and then go for a laparoscopic exam and destroy any lesion that can be found- the scar would be removed just after the lap .

actually I do not think there is a better way for endo than surgery

Garald Jean-Louis , MD Port au Prince , Haiti

>From: "Braun, R. Daniel"
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L
>Subject: endometriosis in C/S scar
>Date: Tue, 30 Jul 2002 08:21:57 -0500
>
>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

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