Re: Failed tubal ligations
From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Sat Feb 10 13:52:05 2007
Do you think age of the patient makes any difference?
Glen
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R.
--
________________________________
Daniel Braun
Sent: Friday, February 09, 2007 6:36 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Failed tubal ligations
I concur with Ron. Scope her, treat the ectopic, and cauterize the
distal end of the proximal tubal segment ON BOTH SIDES.
Also, there is evidence that BTL with C/S has a higher failure rate than
BTL after vaginal delivery.
Dan
On 2/9/07, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
It's an ectopic!
Garry
At Fri, 9 Feb 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>
>Maybe not 100% but the quants are slowly rising, she has passed what
>path called a deciualized cast and she continues to bleed. Based on
>that scenario I would find it hard to suggest that this is a normal
>pregnancy.
>
>As is said here often...but I could be wrong.
>
>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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>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Friday, February 09, 2007 1:37 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Failed tubal ligations
>
>Are you certain this patient has an ectopic?
>
>Art
>
>At Fri, 9 Feb 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>>
>>I have a gal that I did a c-section tubal on 8 months ago (with path
>>specimens showing tubal segments) that now has a positive home
>pregnancy
>>test.
>>
>>Repeat quants have been 191, 282, and 390 at 48 hr intervals. Pt is
>>without symptoms.
>>
>>My presumption is that this is an ectopic based on the history and the
>>abnormally rising quants.
>>
>>My plan would be to give her methotrexate now to treat the ectopic.
>>
>>When you any of you consider doing l/s to repeat the tubal? Now? 6
>>weeks?
>>
>>Thanks,
>>
>>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
>>
>>Notice of Confidentiality
>>Under the Privacy Act of 1974, you must safeguard all information
>>reflected on this e-mail and, if applicable, all attachments.
>>Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131,
>AFI
>>37-132, AFI 33-219, and PL 93-579"
>>This e-mail message including any attachments is for the sole use of
>the
>>intended recipient(s) and may contain confidential and privileged
>>information. Any unauthorized review, use, disclosure or distribution
>is
>>prohibited. If you are not the intended recipient, please contact the
>>sender by reply e-mail and destroy all copies of the original message.
>>Any questions pertaining to disclosure should be directed to the
>privacy
>>officer.
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"The way to health is an aromatic bath and scented massage
everyday".
Hippocrates
