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Re: Gyn: dermoid From: Atkinson, Samuel M (ATKINSONS@ECU.EDU) Mon Oct 23 11:24:41 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Cervical ripening agents" Previous message: emilio porro: "Cleveland Clinic Pelvic Floor Distress Inventory Questionaire" Maybe in reply to: Joanne Bulley, MD: "Gyn: dermoid" Next in thread: RModugno@aol.com: "Re: Gyn: dermoid" Belated input on the Dermoid. I recently removed a Dermoid from a 500 # 20 year old. The Dermoid was visible on all four of the flatplates used to xray her abd. Contrary to popular opinion, Veterinary schools' equipment may not be used on humans. The Dermoid filled the entire abd fom side walls to side walls, gutter to gutter and pelvis to rib cage. Had to peel the capsule from adjacent structure. No we did not try to save this ovary. We did put in a filter in the Vena cava prior to the procedure using the IVUS (intravenous ultrasound) gadget. No Scopes, no Morcellators..just real surgery!!!!!!!!!! Sam ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ DoctorJoe@aol.com Sent: Friday, October 20, 2006 1:25 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: dermoid In a message dated 10/20/2006 12:17:53 P.M. Central Standard Time, islesannie@yahoo.com writes: 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 Well, that's all predicated on taking the ovary out in toto. I guess you're writing this ovary off since the patient is 46. I've taken pretty impressive dermoids out by shelling them and reconstructing the ovary. I'm not sure I'd attempt that with anything but a laparotomy incision (even if it's relatively small). Joe P. Next message: Andrew Folley: "Re: Cervical ripening agents" Previous message: emilio porro: "Cleveland Clinic Pelvic Floor Distress Inventory Questionaire" Maybe in reply to: Joanne Bulley, MD: "Gyn: dermoid" Next in thread: RModugno@aol.com: "Re: Gyn: dermoid"

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