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Re: Gyn: dermoid From: Bernard Cristalli (bcrist@club-internet.fr) Fri Oct 20 13:38:11 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: dermoid" Previous message: DoctorJoe@aol.com: "Re: Gyn: dermoid" In reply to: Joanne Bulley, MD: "Gyn: dermoid" Next in thread: ainsron: "Re: dermoid" Perform a trans parietal cystectomy. First way to perform a lap ovarian cystectomy. Diagnostic laparoscopy, then begin the dissection and empty the cyst with a big trocar. Its "skin" will be removable through an endocatch. The complementary emptying will be made through an enlarged skin incision and in the plastic bag in order to avoid spillage. Rinse abundantly the abdomen befor ending BC Joanne Bulley, MD a écrit : > Who would do this via the laparoscope and who would do a small > laparotomy: > > 46 yo G2P2002 > > US - 6 cm complex mass c/w dermoid > CT scan 5.3 cm predominately fat and fludi filled mass in right > hemipelvis c/w dermoid all else negative. > > So ... management is excision. Many of us would do a small laparotomy > due to the fact that you can't get a 5-6 cm ovary out a 12 mm trocar > insicion. > > Would you: > 1. go straight to laparotomy > > or > > 2. scope for excision then extend the suprapubic incision to large > enough diameter to get the ovary out without rupture > > -- > Joanne Bulley, MD > Keene, NH, USA > -- ÐÏࡱá Next message: ainsron: "Re: dermoid" Previous message: DoctorJoe@aol.com: "Re: Gyn: dermoid" In reply to: Joanne Bulley, MD: "Gyn: dermoid" Next in thread: ainsron: "Re: dermoid"

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