 |
 |
 |
|
|
|||
|
|
||||
|
||||
Re: FIBROID TUMORS-Followup Question From Dr. Hill's ResponseFrom: anonymous@obgyn.netSat, 21 Aug 1999 23:38:01 -0500 (CDT)
At Fri, 20 Aug 1999, D. Ashley Hill, M.D. wrote: > >Sorry, ma'am, I can't let this one go unchallenged. The reason your >doctors don't know much about this is likely because it's a new >procedure. Medical textbooks are full of horror stories of new >procedures that at first glance sounded great, but later turned out to >be unhelpful or even dangerous. Oh brother! Okay, I simply cannot let this one go unchallenged. There isn't ANY reason that a gynecologist should be unfamiliar with uterine artery embolization. It is a procedure that has been around for over 20 years and any gynecologist who has performed an abdominal myomectomy should be more than aware of it. It is precisely the procedure that is performed when there is uncontrollable hemorrhage during a myomectomy or a cesarean birth. Vedantham, Goodwin, McLucas and Mohr covered this quite nicely in "Uterine artery embolization: An underused method of controlling pelvic hemorrhage", American J of Obstetrical Gynecology; April 1997 v176, n4 p 938-948. Your scare tactic of referring to UAE/UFE as "horror stories of new procedures" is quite interesting in this regard. A procedure that has been well documented as saving women's lives over the past 20 years could hardly be classified as a "horror story"! About 9 years ago, Ravina -- a GYNECOLGIST in Paris -- started regularly referring women for this procedure pre-myomectomy to cut down on their bleeding during the surgery. As it turned out, the women had remarkable shrinkage of their fibroids and started cancelling their myomectomies. As for your next post regarding pregnancy after UAE: oh brother again. You're just full of scare tactics. Myolysis and UAE are 2 distinctly different procedures that result in 2 distinctly different types of necrotic material post-procedure. Goldfarb has been diligent about campaigning against pregnancy post myolysis because the tissue becomes soft and a uterine rupture is highly likely. Myolysis involves drilling holes in the fibroids and sending an electrical charge through them. Indeed, numerous ruptures have occurred with myolysis when women did choose to become pregnant post myolysis. HOWEVER, I truly, truly want to see your "case" for this occurring with uterine artery embolization as I am NOT aware of any such occurrences and have seen nothing in the literature that indicates there has ever been such a case. While I'm not disputing that it MAY have occurred, I do believe it highly unlikely based on the differences in the necrotized tissue of fibroids post UAE compared to myolysis. Instead of holes being drilled in the fibroids, PVA is placed in the uterine artery to stop the blood supply to it. Very different procedure. Not even remotely comparable to myolysis other than they are both treatments for uterine fibroids. Please present that case study sir.
-- Carla Dionne carla@uterinefibroids.com http://www.uterinefibroids.com http://www.egroups.com/list/uterinefibroids
|
|
Return to ![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)
Report TECHNICAL Problems ONLY to: webmaster@obgyn.net
Last Updated: Mon Nov 2 07:18:05 2009
Women's Insurance Checklist from Auto Insurance Quote
home | medical professionals | women | industry | forums | international