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Re: 38 weeks, 2 previous myomectomiesFrom: Robert Brenner (robbrenner@earthlink.net)Wed Dec 24 05:24:17 1997
At 08:29 PM 12/22/97 -0600, you wrote: >G1P0 patient, 2 previous abdominal myomectomies 2 and 12 years ago, now >38 weeks. One op report states endometrial cavity not entered, the >other doesn't say. Do we schedule c/s or labor? > >-- >Jane Helwig, MD >Private practice >Nassawadox, VA > I vote C-section. I never liked the endometrial cavity concept. What's really important is how much myometrium was entered. After all, its the myometrium that provides the strength in the scar, not the endometrium. Entering the endometrium means full thickness incision. Not entering the myometrium can mean ALMOST full thickness incision.
-- Robert Brenner MD FACOG Pikesville MD Robbrenner@earthlink.net
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