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Re: Gyn: Submucous fibroidFrom: Henry Gregor (henrygregor@yahoo.com)Thu Mar 23 18:28:12 2006
Reasonable poiints all, but in follow-up to Joe's poiints...how accessible is the uterus vaginally, what is its overall size...etc. A straightforward TVH can be reasonably expected to go down in under sixty minutes, frequently under fortyfive if conditions are optimal. There's rarely a fluid overload/sodium level issue, and rarely does a perforation through the endometrium into dangerous unseen intraperitoneal places occur, and a twentythree hour discharge is routinely achieved. So I wouldn't discount Joe's suggestion too quickly. Hank ENDODOK@aol.com wrote: `Concur with hysteroscopic resection of fibroid and the endometrium, then rollerball the raw myometrium. Her amenorrhea rate will be in excess of 70% ( Arnie Kresch reported 1 year amenorrhea rates of 85% using this technique). Global ablation will not give this high a rate of amenorrhea. The clamp/cut/tie procedure is a major surgery, hospitalization time 2-3 days, full recovery 4 weeks. Resection/ablation is 30 minutes, home in 3-4 hours, full recovery in a day. J. Glenn Bradley MD Tired of spam? Yahoo! Mail has the best spam protection around
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