Vertical incision for myo/hyst

April 3, 2001

I don't know what the reason is for the preference for a vertical incision - but

I don't think generally it is medically required.

When I had a cesarean, the doctor requested permission to do a vertical incision

so he could explore my uterus for remmants/aftereffects from PID. At the time,

I was thinking about: (1) getting Emma out (I'd been in labor for 48 hours) and

(2) how little trouble I'd had from PID recently. I denied permission. It was

only later that I remembered from the C-section video during childbirth classes

that they lift the uterus out of the body anyway - so the reason he gave for

wanting a vertical incision was not valid. (That memory was also confirmed by

slides my spouse took of the delivery - with the uterus visible. The doctor

also gave me a report of the appearance of the entire exterior of the uterus -

amazing he got the same info without the vertical incision he implied he

needed.)

If I had strong feelings about it, I would push the doctor to make sure it is

required for a medical reason, rather than for physician convenience.

>>I was told I'd need a vertical incision if I had myo (or hyst, for that

matter) and

I wasn't a bit surprised because my melon baby is outside the top of my uterus

and

my bulge extends above my navel. I've often heard of women needing vertical

incisions.

Interesting what Dr West says, but he is said to be an unusually skillful

surgeon.

And maybe the difference is between childbirth and myo is that often in myo

surgeons

actually lift your uterus outwards to work on it. rms/ <<

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