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Re: LAVH on a Uterus DidelphusFrom: John Robertson (johngmrobertson@shaw.ca)Sun Apr 27 11:42:40 2008
At Sun, 27 Apr 2008, R. Daniel Braun wrote: > >Concur with Bernard, still would check ureters preop. >Dan > >On Sun, Apr 27, 2008 at 12:15 PM, Bernard Cristalli <bcrist@club-internet.fr> >wrote: > >> A plain TVH would do the trick as well. >> Quicker, cheaper. >> Bernard >> I agree Bernard, my main concern would be that with the C/S she has a relative contraindication to plain TVH (although I have done them in pt's with previous C/S), and that added with the unusual anatomy has swayed me in favor of an LAVH. Will be ordering an IVP when I get in to the office on Monday, thanks Dan. The patient has duplication of the cervix and a small (2cm) fold of tissue between them, but not a septum for the full length of the vagina. Thanks for the encouragement Richard. John.
-- 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
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