Re: Post Partum BTL

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Wed Feb 28 15:51:23 2007


I have always made it a policy to put my incision two finger breadths below the fundus at the time of Post partum T/L and that way you will never have a problem finding the tubes.

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Thursday, 1 March 2007 2:46 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Post Partum BTL

"Better to be a coward and live to fight another day." Anonymous response to Custer after last stand. Obese moms are probalby better served by having essure done 12 weeks post partum. andrew

>From: Dr Eberhard Lisse <el@lisse.NA>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Post Partum BTL
>Date: Tue, 27 Feb 2007 23:30:18 -0600
>
>Yes, you are a woos :-)-O
>
>If she involutes, make a Joel-Cohen incision.
>
>el
>
>on 2/28/07 3:47 AM Richard Kaplan said the following:
> > 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
>

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