Re: 25 YEAR OLD LIPPES LOOP

From: rbraun@indyunix.iupui.edu
Thu Apr 10 06:31:32 1997


I certainly would not subject an asymptomatic 52 Y/O to a general anesthetic just to remove a 25 Y/O Lippes Loop. It is inert plastic and if it hasn't caused a problem in 25 years, why think that it will now. BTW an old fashioned Novak curette frequently works very well for removing IUD's. Oh yeah, Why the hysteroscopy??? Because it was there!!

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R. Daniel Braun, MD FACOG                "Money will buy you a fine dog
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On Tue, 8 Apr 1997 EboDoc@aol.com 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. >





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