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Re: GYN: Fibroids and a Pelvic Kidney From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu) Thu Feb 26 03:26:26 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Carlos Alberto Porta: "Re: Optimal Treatment of Rectovaginal Endometriosis" Previous message: dagriff@pacbell.net: "OB:Cervical Cerclage" Maybe in reply to: Malcolm Griffiths: "GYN: Fibroids and a Pelvic Kidney" Next in thread: Robert Brenner: "Re: GYN: Fibroids and a Pelvic Kidney" Malcolm Now you see. There are veryfew places in this country that teach morcellation. Here at IU, most of our residents have done at least 4 of these cases by the time they finish. But this is unusual. Vaginal surgery except for the very easy case is becoming a lost art. Dan -----Original Message----- From: Gail Waldby <gwaldby@main.basec.net> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Wednesday, February 25, 1998 3:49 PM Subject: Re: GYN: Fibroids and a Pelvic Kidney >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. >> Even if it don't shrink it I would guess that 18 week uterus ought to >> come out PV and be less likely to cause problems with pelvic kidney if >> don PV. >> Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt >> Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. >> Tel: 01582-497459 (office) Fax: 01582-497376 >> 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk >> http://www.obgyn.net/board/griffith.htm >> "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" >> (Someone [1997]) > Next message: Carlos Alberto Porta: "Re: Optimal Treatment of Rectovaginal Endometriosis" Previous message: dagriff@pacbell.net: "OB:Cervical Cerclage" Maybe in reply to: Malcolm Griffiths: "GYN: Fibroids and a Pelvic Kidney" Next in thread: Robert Brenner: "Re: GYN: Fibroids and a Pelvic Kidney"

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