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Re: dermoidFrom: ainsron (ainsron@sbcglobal.net)Fri Oct 20 13:42:07 2006
Laparotomy Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Friday, October 20, 2006 10:18 AM To: Multiple recipients of list OB-GYN-L Subject: Gyn: dermoid 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
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