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Re: Delivery mode in a patient with a previous rectovaginal fistFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Fri Aug 29 22:32:52 1997
>Don't mess with a successful rectovaginal fistula repair. >M.A. Pelosi, III, MD > >Dear Ron, I would disagree with Dr. pelosi. Since the adage of >skinning cats is so familiar, so is the routine statement about doing >c/s. If your assessment is that vaginal delivery is reasonable, then >it is acceptable. I have done vaginal deliveries multiple times in >this same situation. > >Bob >Robert J. Carpenter, Jr. MD >St. Luke's Medical Tower,#2720 >6624 Fannin,Houston,Tx 77030 >zygote@icsi.net 713-795-4600 >FAX:713-795-4422 Bob: I am in the camp to do a section no matter what. Why risk, however small, messing up the sucessful RV fistula repair. I can't imagine that many women would wish to undergo the ordeal again. IMHO, to not section is nuckin' futs!
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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