Re: endometriosis in C/S scar
From: Gerald P. Rodriguez (geraldpr@cybermesa.com)
Tue Jul 30 09:34:15 2002
And what do you do when the mesh gets infected?
Gerald P. Rodríguez, M.D., FACOG
Santa Fe
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"There is something fascinating about science. One gets such wholesale
returns of conjecture out of such trifling investment of fact."
--Mark Twain
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>----- 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 8:19 AM
Subject: 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
> >