Re: tained placenta-need management advice
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Thu May 13 21:11:40 2004
Fascinating. I think that I would have done the curettage when you
first went to the OR, but I'm not sure that I've actually felt an
acreta. What did it feel like?
Garry
At Thu, 13 May 2004, Richard Chudacoff, MD wrote:
>
>Well, about two hours later she started to bleed. After a good epidural and
>ketamine, I performed an EUA, and curettage with a banjo curette. She
>probably lost a liter of blood, but saved her uterus. The uterus firmed up
>very well once the curettage was performed.
>
>--
>Richard Chudacoff, MD
>
>Every man is the son of his own works.
>
>Miguel de Cervantes
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Thursday, May 13, 2004 5:54 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: tained placenta-need management advice
>
>i have followed sonographically a patient with a large portion of
>placenta left in situ secondary to accreta. eventually, the mass began
>to shrink in size. it may, however, take awhile. hope this helps and
>good luck to you and your patient.
>
>art
>
>At Thu, 13 May 2004, Richard Chudacoff, MD wrote:
>>
>>I just delivered a term infant vaginally, but after 30 minutes no placenta,
>>so I took her to the OR. EUA feels like an accreta, so I left the placenta,
>>after double tying the cord with #1 vicryl suture.
>>
>>I've never done this before, but I really didn't feel like dealing with a
>>huge blood loss and potential abdominal surgery. I need recommendations for
>>the next step, which I believe has been discussed here previously
>>
>>--
>>Richard Chudacoff, MD, FACOG
>>
>>Chudacoff Obstetrics & Gynecology, PA
>>
>>15200 Southwest Freeway, #270
>>
>>Sugar Land, TX 77478
>>
>>Tel: 281-277-3900
>>
>>Fax: 281-277-3901
>>
>>rchudacoff@mylinuxisp.com
>>
>>Richard.Chudacoff@obgyn.net
>>
>>http://www.mdhub.com/281-277-3900
>>
>>http://www.chudacoffobgyn.yourmd.com
>>
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>--
>art fougner, md
>ich bin ein New Yorker
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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