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Re: GYN: Pelvic Mass (long--good case) From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu) Mon Mar 30 13:35:26 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kelly Shanahan, MD: "GYN/INFERTILITY: Crinone" Previous message: R. Daniel Braun, M.D.: "Re: IMAGES to Recordable DVD soon !!!!`" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Pelvic Mass (long--good case)" Who would have used a transverse incision? Dan -----Original Message----- From: William J Faulkner <cougar1965@juno.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Monday, March 30, 1998 2:32 PM Subject: Re: GYN: Pelvic Mass (long--good case) >>If she doesn't get better soon, we'll go back in. And if I go back >>in, >>I plan a hyst (maybe supracervical) and removal of the remaining >>ovary. >> >>Garry >> >I am glad that this woman is your patient and not mine :-). We Monday >morning quarterbacks have the luxury of hindsight, but it was not until >about 1980 or so that "piece meal surgery" for pelvic inflammatory >disease would have even been considered an option. The treatment, prior >to the availability of all these antibiotics du jour, was total abdominal >hysterectomy, bilateral salpingo-ophorectomy, wound closure by secondary >intent and drainage. This may well have been what should have been done >the first time you entered this sick woman's abdomen. A side point, who >would have used retention sutures or at least a Smead-Jones closure, >rather than running Prolene? > >Regards, Will > >Or call Juno at (800) 654-JUNO [654-5866] > Next message: Kelly Shanahan, MD: "GYN/INFERTILITY: Crinone" Previous message: R. Daniel Braun, M.D.: "Re: IMAGES to Recordable DVD soon !!!!`" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Pelvic Mass (long--good case)"

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