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Re: Gyn: Positive margins on a LEEPFrom: Henry Gregor (henrygregor@yahoo.com)Wed Oct 31 22:18:16 2007
"Joanne Bulley, MD" <islesannie@gmail.com> wrote: 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). Joanne, Why not start vaginally, circumscribe the vaginal cervical margin you want, advance the bladder a bit, then do a culdotomey and then go abdominally to avoid fighting the narrow pelvic archetecture? (I learned this maneuver from Warren Patow, MD former chief at Walter Reed MC, a most amazing surgeon and an even greater gentleman.) Hank Tired of spam? Yahoo! Mail has the best spam protection around
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