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Re: GYN: Fibroids and a Pelvic KidneyFrom: Gail Waldby (gwaldby@main.basec.net)Wed Feb 25 13:29:29 1998
Really, Malcolm, you routinely take out 18 week uteri vaginally? Do you have any tips and tricks to offer us? I had a remotely similar case of a lady with a fixed pelvic kidney (its position seemed a little atypical) and congenital absence of uterus and vagina who developed a flat polypoid cancer in her rectum. I contemplated removing this segment of the colon surgically (standard colorectal cancer surgery approach) but someone on my Surginet general surgical list told me he would not only have a Urologist help but would also have someone available who could auto-transplant the kidney if necessary, so I referred her off to a center with transplant capability. In this case, though, the lesion was posterior to the fixed pelvic kidney making access difficult. I doubt this would be as much of a problem with the uterus which is anterior to the pelvic kidney. Gail Waldby, MD Huron Clinic SD Malcolm Griffiths wrote:
> HOw about giving her GnRH analogues and the n doing vag Hyst anyway.
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