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Re: endometriosis in C/S scar From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Tue Jul 30 10:56:07 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: endometriosis in C/S scar" Previous message: Griffiths Malcolm: "Re: endometriosis in C/S scar" Maybe in reply to: ivankklee: "endometriosis in C/S scar" Next in thread: Braun, R. Daniel: "Re: endometriosis in C/S scar" Hell routine laparoscopy as part of general care of well woman will be next! (TIC!) Malcolm Griffiths Clinical director & consultant - obstetrics & gynaecology Luton & Dunstable Hospital NHS Trust, Luton, LU4 0DZ, UK Tel:+(44) 1582 497533 Fax: +(44) 1582 497376 -----Original Message----- From: Braun, R. Daniel [mailto:rbraun@iupui.edu] Sent: 30 July 2002 15:12 To: Multiple recipients of list OB-GYN-L Subject: Re: endometriosis in C/S scar So what are the PROS,I have a lot of CONS. Remember this lady is assymptomatic except for the pain in her lump in her abdominal scar. Dan -----Original Message----- From: Ricardo SavarisTo: Multiple recipients of list OB-GYN-L Sent: 7/30/2002 9:01 AM Subject: Re: endometriosis in C/S scar 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 > Next message: Braun, R. Daniel: "Re: endometriosis in C/S scar" Previous message: Griffiths Malcolm: "Re: endometriosis in C/S scar" Maybe in reply to: ivankklee: "endometriosis in C/S scar" Next in thread: Braun, R. Daniel: "Re: endometriosis in C/S scar"

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