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Granulation tissue and Gardner's duct cystFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Tue May 3 15:42:00 2005
35 YO P2032 6 weeks out from 39 week repeat LTC/S Postop, on day 2, her low transverse skin incision was oozing and had an obvious seroma/hematoma such that it was openend in the hospital, and it has been closing nicely by secondary intention. Now, there is a ridge (3 mm, raised) of granulation tissue in the mid-portion, for around 6 cm. of the length of the incision. Has anyone used silver nitrate on this in this situation? Local anesthesia for it? Office? Or, excised? Or, used electrocautery? Also, she has a 6 by 3 cm. cystic structure that emanates from the left vaginal wall in its midportion. It is thin walled and likely a Gartner's duct cyst, but there is no mention of this anywhere in this pregnancy or in the prior one (we have records), and she's never heard anything of a vaginal cyst. While I feel confident that this mass is nothing serious, I can't get around the thought that it is a new finding that must be explained, and I'm contemplating an OR trip to excise this and deal with her wound. Any thoughts welcome. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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