Re: Delivery mode in a patient with a previous rectovaginal fistula

From: Dr. A. Hensenne (cdtg@skynet.be)
Sun Aug 31 17:22:22 1997


"""I think, that the condition of the recto-vaginal septum after repair of a fistula is probably not terribly different from that after repair of a 4th degree tear. ..."

I disagree with you.

Dr A.Hensenne cdtg@skynet.be 72 rue verte 4100 Seraing (LIEGE) - Belgium - Gynécologie médicale et chirurgicale

--
----------
: De : Rjwoolley@aol.com
: A : Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
: Objet : Re: Delivery mode in a patient with a previous rectovaginal
fistula
: Date : lundi 1 septembre 1997 00:03
:
: If there has been an effective repair of an urinary or fecal
: incontinence that was previously invalidating I am absolutely *for* a
: cesarean. In fact it's only a matter of informed consent. So if the
: informed woman prefers a VD...
: *********
: 
: But Ron's point (if I may be so bold as to speak for him for the moment;

and : why not? After all, I've agreed with him 3 times in the last 24 hours, which : is some sort of record, and should probably cause one or the other of us to : re-examine his positoins....) was, I think, that the condition of the : recto-vaginal septum after repair of a fistula is probably not terribly : different from that after repair of a 4th degree tear. So if you advocate : automatic C-section in the former case, it's logical that you should in the : latter as well. Do you? If not, why not?





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