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Re: Gyn: Positive margins on a LEEPFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Oct 31 11:02:37 2007
At Tue, 30 Oct 2007, Joanne Bulley, MD wrote: > >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? Depends on exam, sometimes I make the decision with examination under anesthisa and tell the patient that she will only know after the surgery. Have done lots of vag hysts with greater than 2 c/s, some of the most difficult have had 1 c/s or none, can't predict what pathology will cause most problem sometimes severe endometriosis and no problem, sometimes multiple Leeps make for difficult vag Hyst, basically I tell patients its vag Hyst possible abdominal hyst.
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Take care, John
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