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Re: Sudden HysterectomyFrom: bclaure (bclaure@club-internet.fr)Tue Dec 10 15:13:50 1996
douglas krell wrote: > > Listmembers... , what factors help you to decide upon hysterectomy as > the next treatment of choice? When would you drop the knife? After > hemabate, methergine, irrigation, suction, but before transfusion? > After transfusion? Tie off hypogastrics first? Or if future childbearing > not an issue, go right to hysterectomy? > > What's your algorythm on this one? > 1) Pitocin (a lot+++) 2) prostaglandin 3) arterial embolization (if you've got the time, the man who knows & the placeŠ) 4) Tsirulnikov procedure (triple ligation of uterines, round ligaments & utero-ovarian) 5) hypogastric ligation and then hysterectomy more likely subtotal for it's easier in those cases of emergency. of course sometimes you must jump aver one (some) step(s). To catch a balloon falling in the stairs you have to go down quicker than it does instead of following it. Bernard Cristalli MD CNGOF Paris - France
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