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Any thoughts?From: Terrence.Jones@ncal.kaiperm.orgWed Dec 2 15:30:34 1998
Malcolm, I'm painfully sorry for this skimpy reply, but the office has just been declared an official disaster area... Had to be sure You got a chance to review the case by Dunn (Int J G/O 12/95, 51:247-9) that characterizes the nature of 'chronic ectopic' - with low or absent HCG, vs persistent troph, as You might see post-salpingostomy - with rising or plateauing HCG. The use of MTX prior to exploration might reduce hemorrhage, the extent of which might be estimated by doppler study (Ultras Obs/Gyn 5/97, 9:344-6). Gotta run. Oh Geff- Way to Go buddy! and Gail - will get back to Ya', but was wonderin' if the fellows accross the pond might have some suggestions, as they use 'it' more often it would seem, since they prophylax all postop c-sections. tj.
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