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Re: endometriosis in C/S scar From: Gail Waldby (gwaldby@willinet.net) Tue Jul 30 15:47:05 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: endometriosis in C/S scar" Previous message: art fougner, md: "Re: OB: Group B Strep" In reply to: Ricardo Savaris: "Re: endometriosis in C/S scar" Next in thread: Garry E. Siegel, M.D.: "Re: endometriosis in C/S scar" Dan, I don't think C section scar endometriosis is related to pelvic endometriosis. I think the C section endometriosis is implanted directly during the surgery. I don't think it implies a predisposition to the more usual endometriosis. The few I have seen I have just resected and have been able to close them without mesh. Gail Waldby, MD Huron Clinic SD 7/30/2002 9:01:39 AM, "Ricardo Savaris" <ricardosavaris@hotmail.com> wrote: >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: Gail Waldby: "Re: endometriosis in C/S scar" Previous message: art fougner, md: "Re: OB: Group B Strep" In reply to: Ricardo Savaris: "Re: endometriosis in C/S scar" Next in thread: Garry E. Siegel, M.D.: "Re: endometriosis in C/S scar"

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