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Re: Vaginal Cuff Evisceration From: Gerald P. Rodríguez (geraldpr@cybermesa.com) Mon Jun 27 08:29:49 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Vaginal Cuff Evisceration" Previous message: art fougner, md: "Re: Incompentent Cervix?--->med-leg ramifications" Next in thread: Andrew Folley: "Re: Vaginal Cuff Evisceration- Follow up" Reply: Andrew Folley: "Re: Vaginal Cuff Evisceration- Follow up" She is not falling on picket fences. Some sort of vaginal penetration trauma is occurring and it may just "normal" intercourse. I would attempt to repair it from below but I would want some reassurance that the pelvis is not harboring a foreign body. Perhaps the larger question is what can you do now so that this does not happen a third time. Gerald P. Rodríguez, M.D., FACOG Santa Fe >----- Original Message ----- From: "Andrew Folley" <agfolley@hotmail.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Monday, June 27, 2005 7:10 AM Subject: Re: Vaginal Cuff Evisceration > > Over the weekend I had a 23 yo woman come in to ER with pelvic and > abdomianl pain acute onset with cramping and vaginal bleeding. She had > had a hsyterectomy by my partner in December 2004. > (Severe endomietriosis pelvic pain etc) I examined her and she had a 2 by > 3 cm. opening in her vaginal cuff at the site of closure. What is > particularly bizarre is that she had a similar presentation in April about > 8 weeks previously. She had signs of acute abdomen then and was explored > by surgery with large midline abdominal incision and found to have a > "abdominal /vaginal " perforation or opening in cuff. It was repaired > abdominally by her original GYN at that time. I could put 2 fingers into > the cuff opening and visualize small bowel through tht vagina although it > had not prolapsed through the cuff. WBC and Hb normal. he denies any > unusual sexual practices. No durgs smoking, no steroids, no diabetes, > weighs 130 pounds. > What would you do now?? andrew >> > Next message: Garry E. Siegel, M.D.: "Re: Vaginal Cuff Evisceration" Previous message: art fougner, md: "Re: Incompentent Cervix?--->med-leg ramifications" Next in thread: Andrew Folley: "Re: Vaginal Cuff Evisceration- Follow up" Reply: Andrew Folley: "Re: Vaginal Cuff Evisceration- Follow up"

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