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Re: Patent cervical stump post laparoscopic supracervical hyst From: R. Daniel Braun (rd.braun@gmail.com) Fri Jun 1 07:45:44 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meenan, Anna L.: "Re: Do you Sermo?" Previous message: Lynn Montgomery: "Re: Do you Sermo?" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Patent cervical stump post laparoscopic supracervical hyst" Next in thread: Raymond Stephen: "Re: Patent cervical stump post laparoscopic supracervical hyst" Agree with what John says. "Port Wine" could indicate hematoma drainage. US would be a good idea. Dan On 6/1/07, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. < johnprov@sympatico.ca> wrote: > > At Thu, 31 May 2007, Diana Saari MD wrote: > > > >Painful Scope supracervical hyst for 1.2 pound uterus. > > > >All fine BUT continues to have port-wine color vaginal flow. Did a > >cystourethrogram, and no insult to renal system, so now think peritoneal > >fluid is in free-flow out of the cervix. I could tell that after > >amputation of the uterus the cervix was gaping, and even cautery didn't > >help. > > > >Have considered cautery, direct stitch to the cervical stroma in a kind > >of purse-string, or a really Shrodkar-like stitch, but I don't know if > >the latter would be enough to prevent fluid from flowing through. Funny > >enough, the patient's asked me to talk to her sister's doctor before > >considering suture, as her sister had a 'reaction' to suture post > >C-Section (yes, my patient's own incisions are closed with 4.0 vicryl > >and no complaint yet!). > > > >Much obliged if any one has ideas or has had a similar experience. > > > >-- > >Diana Saari MD FACOG > >guto0002@tc.umn.edu > >University Specialists in Women's Health > >Minneapolis, MN > > > > Sorry does not make sense to me, peritonium closes in 48 hrs, one > possibility would be fallopian tube stuck on cervical stump, trans vag > U/S may help. Residual endometrium should give cyclic bleeding. How > big was the stump small fibroid may still be in the cervix. Even if > cervix was dilated stump will go back to normal in 3-6 months. > > -- > Take care, John > -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: Meenan, Anna L.: "Re: Do you Sermo?" Previous message: Lynn Montgomery: "Re: Do you Sermo?" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Patent cervical stump post laparoscopic supracervical hyst" Next in thread: Raymond Stephen: "Re: Patent cervical stump post laparoscopic supracervical hyst"

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