Re: Trachelectomy

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Dec 26 20:14:25 2005


The previous physician is retired, I've reviewed his op note, and there simply was no mention of the findings, just a description of the procedure.

Absolutely, the red flags are present--she's young and has already had a subtotal hysterectomy/BSO (2 separate surgies), ER frequent flyer, etc.

Dan, the laparoscope is to look for adhesions and to allow access to the appendix. The surgeons around here seem to think that there are a few cases of chronic appendicitis as a source of RLQ pain, so if you're in there, take it out.

The story will unfold as I see her again in the office.

Thanks to all, and Larry, I may email privately about the TLH type approach, although the laparoscopic/vaginal one is one with which I would be more familiar.

Garry

At Mon, 26 Dec 2005, RModugno@aol.com wrote: >
>In a message dated 12/26/2005 4:29:48 P.M. Eastern Standard Time,
>garrys@mindspring.com writes:
>
>I ultimately think that someone will do this surgery
>
>That seems like reason enough to do it! ;+)
>
>Would get previous op notes or speak to physician - you may find out
>interesting things about this patient.
>
>Beware the chronic pain patient! Have all your ducks in a row!
>
>Robert Modugno MD MBA FACOG
>Marietta, GA

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




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