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Re: Post Partum BTL From: David Priver (dpriver@aol.com) Tue Feb 27 21:25:21 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: Ob: Advanced dilatation/footling" Previous message: R. Daniel Braun: "Re: Ob: Advanced dilatation/footling" Richard, I don't think the problem is obesity as much as it is delaying the performance of the BTL beyond a few hours. Of course the uterus will involute if you make the patient wait 24-36 hours (not to mention the obvious disadvantages of requiring her to have a second anesthetic and stay 2 days longer in the hospital). I think if we can't do these cases promptly, we're better off doing them as outpatient laparoscopic cases after the 6 week PP exam. DP At Tue, 27 Feb 2007, Richard Kaplan wrote: > >About 6 months ago I had to abandon a post partum BTL on an obese patient >who was close to 36 hours post delivery because her fundus had involuted to >the point where I could not palpate it or find the tubes through my >subumbilical minilap incision. This morning I cancelled a BTL on another >obese patient 24 hours post partum when her fundus palpated well below the >umbilicus (14-16 wks.) and I was afraid that I would have the same problem. >She was happy to schedule a laparscopic procedure in 5 weeks. My partners >think I'm a woos. Have any of you had similar experiences? > >-- >Richard Kaplan > Next message: Betsy Hyde: "Re: Ob: Advanced dilatation/footling" Previous message: R. Daniel Braun: "Re: Ob: Advanced dilatation/footling"

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