Re: Ovarian Mass at TVH

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Wed Jun 16 09:16:51 2004


Here I would ligate the IP, and then use an Endobag to cover the ovary and gently try to remove it, with the opening of the bag outside the vagina once I started traction.

--
Richard Chudacoff, MD

Beer is living proof that God loves us and wants us to be happy.

Benjamin Franklin

Heaven grant that the burden you carry may have as easy an exit as it had an entrance. [Prayer To A Pregnant Woman] -Desiderius Erasmus -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, June 15, 2004 6:00 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: Ovarian Mass at TVH

62 YO P3003 with symptomatic procidentia, otherwise normal exam.

At planned TVH/BSO/repairs and sacrospinous ligament fixation, after the uterus was out, the left ovary was, lo and behold, 6-8 cm., white, smooth, no excresances, etc. The other ovary/tube/pelvic structures were all pristine, there was no ascites when opening the peritoneal cavity, and the enlarged ovary was not evident to me during examination under anesthesia.

At this point, both infundibulopelvic ligaments are accessible, meaning that transvaginal removal is possible. However, I'm not so sure that I can get the ovary out without rupture.

What would you do? I've already done it and know the results!

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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