Re: Granulation tissue and Gardner's duct cyst

From: art fougner, md (evsono@pipeline.com)
Tue May 3 16:20:06 2005

Does it transilluminate?

art

At Tue, 3 May 2005, Garry E. Siegel, M.D. wrote: >
>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
>

--
art fougner, md


 "If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra



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