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Re: Large vaginal condyloma in pregnancyFrom: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)Tue Mar 31 00:46:16 1998
In message <199803310509.XAA21925@talk.obgyn.net>, "Timothy C. A. Brown, M.D." <tcab1@idt.net> writes >28yo G3P2 now 22 weeks pregnant and after an episode of vaginal bleeding >a large 2-3 cm condyloma was noted high in the right vagina. This >appears to be an isolated lesion. My inclination is to remove it but >I'm not sure this would really make a difference for the pregnancy. Does >anyone think a C-Section is warranted to protect the baby? Any comments >are welcome. > >-- If it's isolated I too would be inclined to excise it. My technique is either LA (lignocaine w.Adr) or GA but still infiltrate with Adr sol. Pull on wart with forceps and use a bluntish (if poss) pair of curved scissors to excise. Then simple pressure for haemostasis. Heals very nicely. As far as CS - NO I wouldn't. 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])
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