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Re: Vag hyst after C/S ... was Positive margins. From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Oct 31 15:24:44 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Gyn: MRI OK with Mirena" Previous message: Richard Chudacoff: "Re: My blog" In reply to: Douglas Krell: "Vag hyst after C/S ... was Positive margins." Next in thread: R. Daniel Braun: "Re: Vag hyst after C/S ... was Positive margins." Reply: R. Daniel Braun: "Re: Vag hyst after C/S ... was Positive margins." Reply: Joanne Bulley, MD: "Re: Vag hyst after C/S ... was Positive margins." I would also factor in the pelvic architecture, i.e. how narrow is her arch (did she have the first C/S for "CPD" and has a narrow arch that makes vaginal access a struggle). Garry At Wed, 31 Oct 2007, Douglas Krell wrote: > >Is one enough...six too many? > >No. If the patient has prev C/S, I wouldn't hesitate to do a vag hyst based >on the number of C/S alone, but rather on the patient's exam, degree of >uterovaginal prolapse, apparent severity of scarring, size of uterus >etc...Haven't we all seen those women who've had 5 or 6 C/S and it looks >like they've barely been to surgery? Then there was the woman last week... >2nd C/s and I couldn't even exteriorize the uterus to do the tubal. > >-- >Douglas Krell MD > >>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 >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Gyn: MRI OK with Mirena" Previous message: Richard Chudacoff: "Re: My blog" In reply to: Douglas Krell: "Vag hyst after C/S ... was Positive margins." Next in thread: R. Daniel Braun: "Re: Vag hyst after C/S ... was Positive margins." Reply: R. Daniel Braun: "Re: Vag hyst after C/S ... was Positive margins." Reply: Joanne Bulley, MD: "Re: Vag hyst after C/S ... was Positive margins."

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