Re: :elvic AP Surgery- question
From: Andrew Folley (agfolley@hotmail.com)
Mon Sep 19 19:27:45 2005
Do you think it is becoming more and more common practice to adjunct the
traditional AP repair (Kelly plication sutures with vicryl etc) with the use
of some type of mesh for permanence and improved support? What is everyone
doing or using? I am leaning more and more toward polypropylene mesh (BARD)
and use of 2-0 Nylon to secure it in place. andrew
>From: "Andrew Folley" <agfolley@hotmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: von Willebrand's
>Date: Mon, 19 Sep 2005 18:57:41 -0500
>
>Agree, recall that one treatement regimen for severe hemorrhage in
>adolescents is use of IV estrogen 25mg q 4 hours. for 6 doses. andrew
>
>>From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: RE: von Willebrand's
>>Date: Mon, 19 Sep 2005 18:13:16 -0500
>>
>>She needs oestrogen not progesterone. Use a 50 mcg pill for three
>>cycles, then put her on a low progestagen pill. Mirena will probably
>>have the same effect as the Seasonale.
>>
>>Steve Raymond
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Diane
>>Petersen
>>Sent: Tuesday, 20 September 2005 8:43 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: von Willebrand's
>>
>>I recently saw a young lady ( 16-year-old) with mild type 1 von
>>Willebrand's disease. She has been treated with oral contraceptive
>>pills. She started with Seasonale but developed breakthrough bleeding.
>>She was switched to a variety of OCP's with continued breakthrough
>>bleeding. The most recent change placed her on 35 microgram estrogen
>>OCP but she is requiring two pills per day to control her bleeding.
>>
>>--
>>Diane E.B. Petersen, M.D.
>>
>>Tasmania Together 5 Year Review: Have your say
>>http://www.tasmaniatogether.tas.gov.au/
>>
>
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