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Re: ? perf at hysteroscopy From: ainsron (ainsron@sbcglobal.net) Tue Aug 28 10:03:38 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: ? perf at hysteroscopy" Previous message: DoctorJoe@aol.com: "Re: ? perf at hysteroscopy" I would have scoped her. I had one like that recently, it was a redo of a failed ablation. I had a perforation on the right lateral side of the uterus, by the lower uterine segment. It went directly into the broad ligament and dissected along the right pelvic sidewall, above the pelvic brim, it was amazing how much fluid she received in the blink of an eye. She did fine with observation, minimal pain in the hospital overnight. When I went back to do a LAVH six weeks later, because of continued bleeding, there was no problems I could identify and the surgery was not complicated. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of FRANCES WREN Sent: Tuesday, August 28, 2007 7:17 AM To: Multiple recipients of list OB-GYN-L Subject: ? perf at hysteroscopy just in with a colleague who did an endo ablation..... did not appear to have any problems..no evidence of perf... however 4000 cc glycine in via hysteroscope...and only 1300 cc out in the suction. assuming perf... urine clear,so not there. needle in cul de sac..just a little fluid there ,however looked distinctly like diluted stuff..versus usual intraperitoneal fluid. Px'd with lasix and saline @150 cc hourly.....maybe should inc rate of saline to prevent the hyponatremia from electrolyte osmosis from the glycine????? any other suggestions listers????? frances wren >----- Original Message ----- From: evsono@pipeline.com (art fougner, md) Date: Tuesday, August 28, 2007 5:47 am Subject: Re: anemia and neuro pt To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > "It ain't over 'til it's over." > Lawrence Peter Berra, 1973 > > At Mon, 27 Aug 2007, Babycatchers@aol.com wrote: > > > <SNIP> > >Baby is fine. So all is well that ends well for us. I > hope she does ok > >now. > > > >Vicki Smith, CNM, MSN > >West Virginia > > > >Vicki Smith, CNM, MSN > >West Virginia > >Midwives- changing the world one baby at a time. > > > -- > art fougner, md > "May The Wings of Liberty Never Lose a Feather." - Jack Burton > Next message: art fougner, md: "Re: ? perf at hysteroscopy" Previous message: DoctorJoe@aol.com: "Re: ? perf at hysteroscopy"

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