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Re: Ablation failure and adenomyosis From: Bernard Cristalli (bcrist@club-internet.fr) Sun May 16 14:01:18 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: GYN: LAVH/Liposuction" Previous message: Bernard Cristalli: "Re: GYN: LAVH/Liposuction" IMHO too, adenomyosis is the primary cause of ablation failure. In case of unresponsive menorrhagia I propose a hysteroscopic resection as a first step but I tell the patient the risk of reccurence is high in case of endo (which is frequent). She is aware that in case of reccurence the treatment will be a TVH. Some patients prefer a TVH at once. I agree. -- ENDODOK@aol.com a écrit: > For what it is worth, IMHO, adenomyosis is the primary cause of ablation > failure. My current approach is if menorrhagia unresponsive to medical Rx, > and if bleeding associated with severe cramps, and uterus tender /boggy/ > marginally enlarged, I encourage LSH . > A review of our first 55 cases of LSH, seven were ablation failures. > Two were fibroid related, the others all adenomyosis. > > JGB -- Bernard Cristalli MD CNGOF AMACOG AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: Paul Prior MD: "Re: GYN: LAVH/Liposuction" Previous message: Bernard Cristalli: "Re: GYN: LAVH/Liposuction"

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