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Re: vaginal granulationFrom: Philip Suarez, M.D. (philip@ICSI.Net)Mon May 27 09:13:08 1996
> Any suggestions as to etiology? Could this be consistent with a > tissue reaction to the vicryl (I am planning to use chromic for the > next repair)? Any pearls re:surgical technique for the revision > (other than an adequate margin around the affected tissue, say 0.5 > cm) Terri: On occasion your may avoid surgical repair by injecting the area with 2% lidocaine. Sometimes small point-sensitive neuromas may occur and injecting with lidocaine destroys these nerve endings. I've actually had a couple patients that recovered completely with this simple attempt at avoiding surgery. Of course, others have failed the attempt and I've proceeded with exactly what you're proposing... But, at least it's an attempt at doing something simple to get rid of the symptoms... Regards, Philip ----------------------------------------------------- Philip Suarez, M.D. philip@icsi.net ----------------------------------------------------- Fellow - American College Ob/Gyn
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