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Re: Gyn: dermoid From: Myer Bornstein (mborn@massmed.org) Fri Oct 20 18:32:12 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Office Ablation" Previous message: D. Ashley Hill: "Re: dermoid" In reply to: D. Ashley Hill: "Re: Gyn: dermoid" Next in thread: R. Daniel Braun: "Re: Gyn: dermoid" I use the gall bladder suction which is large bore with a sharp trocar after I place the dermoid in an endo bag and bring the cyst up to where I can visualize it through the incision. Works great Myer and there is no spillage > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of D. > Ashley Hill > Sent: Friday, October 20, 2006 7:00 PM > To: Multiple recipients of list OB-GYN-L > Subject: Re: Gyn: dermoid > > Scope her and put it in a bag. Pull the bag up to a 10mm incision and > suck out the fluid (from the outside) to decompress it, then pull the > remaining tissue and bag out of the incision. We do most our dermoids > this way. It helps to have a skilled assistant. Also, you can gum up a > suction irrigator so I have changed to using a syringe and large-bore > needle to aspirate the ovary. Good luck. > > Ashley > > At Fri, 20 Oct 2006, 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 > > > > -- > D. Ashley Hill, MD > Associate Director > Department of Obstetrics and Gynecology > Florida Hospital Family Practice Residency > Medical Director, Loch Haven Ob/Gyn Group > Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando > Orlando, Florida Next message: Andrew Folley: "Re: Office Ablation" Previous message: D. Ashley Hill: "Re: dermoid" In reply to: D. Ashley Hill: "Re: Gyn: dermoid" Next in thread: R. Daniel Braun: "Re: Gyn: dermoid"

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