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Re: Gyn: Positive margins on a LEEPFrom: Joanne Bulley, MD (islesannie@gmail.com)Tue Oct 30 21:11:56 2007
While I look to do as many hysts as VH as possible ... I have a VERY similar patient with persistent HPV disease and SIL. Pap with suggestive of HSIL - it was a very tough Leep due to very narrow vaginal architecture (C/S x 2). On the one hadn I can see where doing it as a VH would be great and do those vaginal margins - but with 2 C/S -AND- really tough access I think I will decide to go with an "old fashioned" abd TAH. (high probability of BSO unless she insists on keeping those ovaries (close to or at age 50). So a question for Y'All : any rule-of-thumb on VH - at how many C/S would you be hesitant to do a VH? JB
At Tue, 30 Oct 2007, R. Daniel Braun wrote:
>
-- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA
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