I am just greeting all of the from the patient's perspective. I am friendly with her OB , so I will talk to her next week.

Ginger Chun, BA, IBCLC, RLC, LLLL
Sent from my iPhone

On 2013. 9. 21., at 14:12, Elizabeth Boggs <[log in to unmask]> wrote:

> Ginger-
> 
> Yes, I'd assume her risk of dehiscence is more in line with a total abdominal hysterectomy. 
> 
> I confess I'm intrigued by the idea of a cesarean hysterectomy with pelvic floor repair. I trained (very recently) in a program that emphasized avoiding any "elective" surgery at the time of a cesarean delivery because the blood flow to the pelvic viscera is so high and the risk of hemorrhage increased. 
> 
> I can't imagine I'd be performing a c-hyst for anything other than a placenta accreta or similarly dire situation. Which, I would think, would make a simultaneous prolapse repair an odd thing to do. I have no knowledge into your particular patient's situation so there may be a *great* reason. I just can't think of it right now!
> 
> Best of luck!
> 
> Elizabeth  
> 
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