Re: OB: PP TL

From: ainsron (ainsron@sbcglobal.net)
Tue Mar 28 19:07:10 2006


That was my training too. If I can't do it after delivery up to 48 hours, I see them at six weeks and schedule 4-6 weeks later.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Tuesday, March 28, 2006 5:56 PM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: PP TL

NEVER EVER EVER between 48 hours and 6 weeks post partal. Increaseed infection rate.

Dan

On 3/28/06, rmodugno@aol.com <rmodugno@aol.com> wrote:

Have done quite a few about a month postpartum - most are well-involuted. Can do bipolar coagulation without a uterine manipulator with some good Trendelenburg. One of our local gyn oncologists does LAVH without a uterine manipulator. Can do post-op and 6 weeks postpartum visit in one!

Robert Modugno MD MBA FACOG

Marietta, GA

-----Original Message----- From: Elrod, Darryl G MAJ 48 MDOS/SGOBO <<mailto:Darryl.elrod@LAKENHEATH.AF.MIL> Darryl.elrod@LAKENHEATH.AF.MIL> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net >

Sent: Tue, 28 Mar 2006 03:25:42 -0600 Subject: Re: OB: PP TL

Robert,

You would do the L/S tubal before the 6 week postpartum? I would typically do the postpartum, make sure all was well and healed and then do it.

I guess the only time I remember perforating a uterus in residency (doing laparoscopy) was a 5 wk postpartum tubal. And I was late to the case to boot, AND she got peritonitis in the week after the case.

Glen

//SIGNED//

D. Glen Elrod, Maj., USAF, MC

Obstetrician/Gynecologist

Chief of Obstetrics

48 MDOS/SGOBO

RAF Lakenheath, England

Telephone DSN: 314-226-8130

Comm: +44 (0) 1638 52 8130

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Tuesday, March 28, 2006 1:44 AM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: PP TL

In a message dated 3/27/2006 4:51:57 P.M. Eastern Standard Time, garrys@mindspring.com writes:

Any suggestions welcome.

Garry

Let the pro-T/L partner do the t/L before the 6 week postpartum visit if they are not on call for the delivery.

Robert Modugno MD MBA FACOG

Marietta, GA

--
R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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