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Re: LAVH on a Uterus Didelphus From: R. Daniel Braun (rd.braun@gmail.com) Sun Apr 27 11:22:47 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: LAVH on a Uterus Didelphus" Previous message: rchudacoff@mylinuxisp.com: "Re: LAVH on a Uterus Didelphus" In reply to: John Robertson: "LAVH on a Uterus Didelphus" Next in thread: AllanHo@aol.com: "Re: LAVH on a Uterus Didelphus" Uterus didelphys is a total duplication of uterus, cervix, and vagina. Duplication of the fundus only is uterus bicornis unicolles and duplication of fundus and cervix is uterus bicornis bicolles. In order to have a didelphys, there needs to be a vaginal septum. Hyst should not be complicated, but I would evaluate the ureters preop. There is a high incidence of ureteral anomalies associated with uterine duplication. BTW, over the years, I have made the initial diagnosis of uterine duplication 23 times at the time of a repeat C/S where the 1st C/S had been for breech and no one had bothered to look for a duplication. Dan On Sun, Apr 27, 2008 at 12:02 PM, John Robertson <johngmrobertson@shaw.ca> wrote: > Recently referred a patient with menorrhagia, who at hysteroscopy was > noted to have uterus didelphus with a submucosal fundal fibroid in the > left horn near the fundus. Offered her resection with ablation, but she > is interested in Hysterectomy. Previous C/S (different institution, > anomaly not recognized), and I offered her an LAVH. Any tips, tricks, > caveats for this case? Thanks in advance. John. > > PS - Ran the Boston Marathon 3:30:14 - incredible experience, great > city, didn't get to see Lance Armstrong except on TV. > > -- > J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 > (604) 793-9988 e-mail john.robertson@obgyn.net > Who is wise and understanding among you? Let him show it by his good > life, > by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV > -- R. Daniel Braun, MD FACOG(L) ABMP CMTh Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: R. Daniel Braun: "Re: LAVH on a Uterus Didelphus" Previous message: rchudacoff@mylinuxisp.com: "Re: LAVH on a Uterus Didelphus" In reply to: John Robertson: "LAVH on a Uterus Didelphus" Next in thread: AllanHo@aol.com: "Re: LAVH on a Uterus Didelphus"

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