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Re: Delivery mode in a patient with a previous rectovaginal fistula From: Dr. A. Hensenne (cdtg@skynet.be) Fri Aug 29 15:43:55 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: nalbf@ime.net: "Re: persistent HCG" Previous message: Dr. A. Hensenne: "Re: The Missing IUCD" Maybe in reply to: Dr Ron Jewell: "Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Rjwoolley@aol.com: "Re: Delivery mode in a patient with a previous rectovaginal fistula" Bernard Cristalli : CESAREAN. If the repair is effective don't run the risk. ============================= I agree totally. Dr A.Hensenne cdtg@skynet.be 72 rue verte 4100 Seraing (LIEGE) - Belgium - Gynécologie médicale et chirurgicale -- ---------- : De : Bernard Cristalli <bcrist@club-internet.fr> : A : Multiple recipients of list <ob-gyn-l@talk.obgyn.net> : Objet : Re: Delivery mode in a patient with a previous rectovaginal fistula : Date : vendredi 29 août 1997 22:16 : : Dr Ron Jewell wrote: : > : > This 27 year old G2P1 had her first delivery in a small rural hospital : > and had an undiagnosed third degree(4th for our American colleagues) : > tear. Her GP repaired the tear but 1 week later she started passing : > faeces per vaginum. : > : > The fistula was repaired at 4 weeks post partum by a general surgeon. : > : > She is now 30 weeks gestation in the second pregnancy and has been : > referred to me for delivery. : > : > I have advised LUSCS if she appears to have a larger baby - the first : > was about 3.5kgs. Otherwise I would have thought vaginal delivery with : > close supervision and an early large mediolateral episiotomy reasonable. : > : -- : CESAREAN. : If the repair is effective don't run the risk. : -- : Bernard Cristalli MD CNGOF : AIHP - ACCA : Paris - France : http://www.obgyn.net/corresp/cristalli.htm : Next message: nalbf@ime.net: "Re: persistent HCG" Previous message: Dr. A. Hensenne: "Re: The Missing IUCD" Maybe in reply to: Dr Ron Jewell: "Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Rjwoolley@aol.com: "Re: Delivery mode in a patient with a previous rectovaginal fistula"

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