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Re: Gyn:  Submucous fibroid From: Rafael Haciski (haciski@earthlink.net) Thu Mar 23 21:36:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G MAJ 48 MDOS/SGOBO: "RE: Gyn:  Submucous fibroid" Previous message: ENDODOK@aol.com: "Re: Gyn: Submucous fibroid" In reply to: Henry Gregor: "Re: Gyn:  Submucous fibroid" And I would vote for laparoscopic hysterectomy - home same day, minimal recovery at home, usually less than 1 week. And no bleeding afterwards. -- Rafael Haciski MD FACOG Palmetto, FL On Mar 23, 2006, at 8:29 PM, Henry Gregor wrote: > 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 Next message: Elrod, Darryl G MAJ 48 MDOS/SGOBO: "RE: Gyn:  Submucous fibroid" Previous message: ENDODOK@aol.com: "Re: Gyn: Submucous fibroid" In reply to: Henry Gregor: "Re: Gyn:  Submucous fibroid"

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