-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: endometriosis in C/S scar From: Braun, R. Daniel (rbraun@iupui.edu) Tue Jul 30 09:14:44 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: endometriosis in C/S scar" Previous message: art fougner, md: "Re: ACOG HRT Statement" Maybe in reply to: ivankklee: "endometriosis in C/S scar" Next in thread: Braun, R. Daniel: "Re: endometriosis in C/S scar" Me too for 35 years. Always under general.Never had a defect less than 5 cm in diameter after excision. According to the surgical literature and also one of the articles on last year's ABC recert. exam that requires mesh. Dan -----Original Message----- From: Gerald P. RodriguezTo: Multiple recipients of list OB-GYN-L Sent: 7/30/2002 9:04 AM Subject: 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: Braun, R. Daniel: "Re: endometriosis in C/S scar" Previous message: art fougner, md: "Re: ACOG HRT Statement" Maybe in reply to: ivankklee: "endometriosis in C/S scar" Next in thread: Braun, R. Daniel: "Re: endometriosis in C/S scar"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:51:58 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.