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Re: Adenomyosis surgery on the web
From: jwang, M.D. (anonymous@obgyn.net)
Tue, 21 Mar 2000 20:18:58 -0600 (CST)
Oh my. That story sounds very interesting. At the risk of sounding
like an institutional hardliner it sounds ridiculous. The condition of
ademomyosis is an infilitrating disorder, and it is by definition, a
diagnosis made by microscopy. In order to completely remove the
adenomyosis at the time of surgery, without the benefit of microscopic
examination, the entire endometrial lining would have to have been
removed. This would leave the patient with a non-functioning, scarred
uterine remnant.
At Sun, 19 Mar 2000, Harvey S. Marchbein, M.D. wrote:
>
>At Sun, 19 Mar 2000, Jane wrote:
>>
>>Would a doctor please review the pictures at
>>http://www.drhufnagel.com/cases/Morrison/pre-op.html and make a comment?
>>Is this a legitimate procedure for adenomyosis?
>
>I'd love to see this written up and accepted by the majority of obgyns
>first. Pictures of one surgery or several surgeries doesn't make a
>procedure "acceptable" or "recommended". A peer review study of the
>pathology and followup of all patients is more likely to sway other
>doctors. Not knowing the physician involved, I'm inately suspicious of
>reports of only ONE doctor who can fix something.
>
>>The adenomyosis looks
>>very extensive. I don't know whether to be impressed or horrified with
>>the surgery. It looks like the uterus of Frankenstein's monster's bride
>>at the end.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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