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Re: 25 YEAR OLD LIPPES LOOPFrom: Joseph Stern (jwstern@mindspring.com)Wed Apr 9 10:05:56 1997
At 12:19 PM 4/8/97 -0500, you wrote: >A new case for the list. 52 yr old with Lippes loop for 25 years. No >problems. >She is new patient and diag hysterscope shows lippes on posterior wall. >unable to remove in office. Did not have a Knitting type needle, but all >long >forceps were unsucessful in grasping due to jaws and hinge configuration. >A 0 and #1 currette were also unsucessful. I need to know if there is any >evidence >that would suggest that this be removed in the OR. I intend to get a IUD >type hoo >remover and give that a try. The couple is concerned whether there is any >compelling reason to proceed any furthur- I am unaware of any data regarding >chronic inflammation and neoplasia. >ebodoc >Ed Ryan,M.D. I have put many in place 25 years ago and have a seen in place during the past 5 yrs. My thoughts are: if there is no real reason to remove them, leave them in situ. 2) if you feel you just have to meddle and remove them, h-scope them and curetted it out with small curette. starting at the non- extended portion. If it doesn't come ealily use the curetted to loosen the edges evnouth to remove it with the curetted or use a Baozeman.
Joe Stern
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