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Re: intravaginal compresses forgottenFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Sun Aug 22 15:31:15 1999
I have seen one patient who was delivered by another physician on call for me, who had the large delivery sponge left it (it is about the size of a laparotomy pad). She presented at one week PP with a broken down episiotomy and a foul discharge. I did not explore the vagina at the initial office visit due to her tremendous discomfort (I will next time, though). When she returned a couple of days later for a recheck, I removed the sponge. She healed nicely on antibiotics and with time. She sued him for malpractice, and ultimately lost. It was my personal feeling that the sponge was the cause of the breakdown. I don't think that she was harmed by this, ie no long term consequences. Interestingly, the defense attorney used her history of being a smoker and of having had HPV to shed doubt on her "healing" ability, and I did not testify, probably because I had told him that I thought that the sponge was related to the breakdown. Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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