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Re : GYN: Contemporary Management of Pelvic Relaxation From: Bernard Cristalli (bcrist@club-internet.fr) Tue Oct 26 00:15:51 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Woolley: "Re: me" Previous message: Garry E. Siegel, M.D.: "GYN: Contemporary Management of Pelvic Relaxation" Next in thread: art fougner, md: "Re: FREE* 1 yr USA Magazine Sub sent worldwide-200+ Choices" Reply: art fougner, md: "Re: FREE* 1 yr USA Magazine Sub sent worldwide-200+ Choices" I think we don't understand everything yet about prolapses and SUI. $.02 -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm ---------- >De : garrys@mindspring.com >À : Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> >Objet : GYN: Contemporary Management of Pelvic Relaxation >Date : Mar 26 oct 1999 3:40 > >In this month's 10th anniversary issue of OB-GYN Management, one writer >reflects on a decade of change in patient care with respect to pelvic >reconstruction. His example is a 64 YO with a "bulge," SUI, and on exam >she has a procidentia. He comments that the repair in 1989 would have >been a TVH, BSO if accessible, McCall's culdoplasty, and A and P repair. > >In 1999, she would have a TVH, BSO (new technique with an endoloop that >gets the ovaries), and then a "complete assessment of the pubocervical >fascia would be made." Yada yada polybutester suture would be used, >cystoscopy done, fix posterior and lateral fascial tears. This >operation would restore normal anatomic landmarks that determine vaginal >length and axis. "No longer are rapidly absorbable sutures used to fold >the bladder wall in a futile attempt to use a distensible organ as its >own support.. . Plication of the levator muscles is no longer an >accepted practice." Somewhere else, he (or someone else) says that all >of this isn't accessible by the lapscope. > >I'm feeling a bit out of the loop here. What think you? > >Garry > >-- >Garry E. Siegel, M.D., FACOG >Private Practice >Roswell, Ga. > Next message: Robert J. Woolley: "Re: me" Previous message: Garry E. Siegel, M.D.: "GYN: Contemporary Management of Pelvic Relaxation" Next in thread: art fougner, md: "Re: FREE* 1 yr USA Magazine Sub sent worldwide-200+ Choices" Reply: art fougner, md: "Re: FREE* 1 yr USA Magazine Sub sent worldwide-200+ Choices"

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