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Re: tubal ligation From: Anna Meenan, MD (annam@uic.edu) Sat May 20 09:25:56 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Sterilization failure rates" Previous message: Anna Meenan, MD: "A rant and a poll" In reply to: mjutras@gate.net: "Re: tubal ligation" Well, the consent form that public aid patients sign in Illinois states that it is not reversible, and really, I think one could get into more trouble medicolegally by telling pts it is reversible. You know d*mn well pts. only hear what they want to hear. I basically say it is permanent. I mention that some folks have had them reversed successfully, but that it is expensive and not covered by any insurance. -- Anna Meenan, MD At Fri, 19 May 2006, mjutras@gate.net wrote: > >On a different note: > >Why is it that we were always told to tell the patient the truth about >everything including when a mistake was made but we were all taught to lie >about tubal ligation? Was anyone not told to tell the patient that it was >not reversible? > >There were two reasons we were told not to do fimbrectomies. The first was >higher fistula formation and therefore procedure failure (fattest part of >tube). Second, was that it was difficult to reverse - requires >neosalpingostomy with cuff fimbrioplasty - IVF works better here. > >I do a lot of IVF but 98% of patients with tubal ligation chose tubal >anastomosis over IVF. > >Mark Jutras, MD >Orlando Next message: Anna Meenan, MD: "Re: Sterilization failure rates" Previous message: Anna Meenan, MD: "A rant and a poll" In reply to: mjutras@gate.net: "Re: tubal ligation"

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