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Re: Gyn: dermoid From: Rafael Haciski (haciski@earthlink.net) Fri Oct 20 14:24:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard D. Kaplan: "Re: dermoid" Previous message: ainsron: "Re: dermoid" In reply to: Joanne Bulley, MD: "Gyn: dermoid" Next in thread: rmodugno@aol.com: "Re: Gyn: dermoid" Reply: rmodugno@aol.com: "Re: Gyn: dermoid" Laparoscopic oophorectomy, place the ovary/cyst into an endopouch, then probably using the morsellator chew it up and suck it up, then pull the bag out, and go home. Rinse copiously any spillage (should not have any) -- Rafael Haciski MD FACOG Palmetto, FL On Oct 20, 2006, at 1:17 PM, Joanne Bulley, MD wrote: > 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 Next message: Richard D. Kaplan: "Re: dermoid" Previous message: ainsron: "Re: dermoid" In reply to: Joanne Bulley, MD: "Gyn: dermoid" Next in thread: rmodugno@aol.com: "Re: Gyn: dermoid" Reply: rmodugno@aol.com: "Re: Gyn: dermoid"

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