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Re: AdenomyomaFrom: dahmd@gate.netSat Jun 1 14:09:01 1996
In article Ronald Helm <ronhelm@ronhelm.seanet.com> writes:
>Why in the world would one be surgically removing an adenomyoma in the >first place? If I remove an adenomyoma, it is done for accompanying >diffuse adenomyosis and it is done by total hysterectomy. Subsequent >fertility therefore is zero. This makes no more sense than removing a >solitary intramural lieomyoma! The recurrence rate, after this >unneccessary surgery must be close to 100%, given the likelihood of >diffuse adenomyosis. I'm a little confused about your statement regarding intramural fibroids. Do you mean that you would not do a laparoscopic or abdominal myomectomy on a 24 year old nulligravid woman with pelvic pressure, severe constipation, and a *solitary* 8cm posterior fundal intramural fibroid with an otherwise normal workup? If not, could you please elaborate on why not? I just did one with great results and the patient is thrilled that she gets to keep her uterus! Thanks in advance, Ashley D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net
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