Re: Bilateral dermoids
From: Efrain Ramirez (eramirezt@coqui.net)
Thu Mar 8 14:57:27 2007
Why - a devastating infection with..??.. Leaving the dermoid - another
anesthesia - that's more hazardous ..IMHO..
Ef
>At Thu, 08 Mar 2007, Andrew Folley wrote:
>
>Agree it is a judgement call. however keep in mind that you are setting this
>patient up for a potentially devastating infection with tubo ovarian abcess
>formation and hysterectomy. The risk may be significant. Perhaps a more
>prudent course would be to leave alone and reassess in 12 weeks and treat
>laparoscopically or with laparotomy. andrew
>
>>From: "R. Daniel Braun" <rd.braun@gmail.com>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: Bilateral dermoids
>>Date: Wed, 7 Mar 2007 12:44:24 -0600
>>
>>Shell the cysts out of each ovary while you are in there.
>>Dan
>>
>>On 3/7/07, Elrod, Darryl G Maj 48 MDOS/SGOBO
>><Darryl.elrod@lakenheath.af.mil>
>>wrote:
>>>
>>> I have just gotten out of the OR with a 26 yo G1 at 39 wks that had a
>>>c-section for failure to progress. At the time of the c-section the
>>>ovaries
>>>were both found to be enlarged to 8-9cm. Neither had previously been
>>>noted
>>>on her early OB sono nor her anatomy scan at 22 weeks. By the appearance
>>>of
>>>the fluid seen through the cyst wall my suspicion was that this
>>>represented
>>>bilateral dermoid cysts.
>>>
>>>What are the management options with this patient and which would you
>>>choose and why?
>>>
>>>(Then I'll tell you what I did-right or wrong)
>>>
>>>Glen
>>>
>>>//SIGNED//
>>>
>>>D. Glen Elrod, Maj., USAF, MC
>>>
>>>Obstetrician/Gynecologist
>>>
>>>Chief of Obstetrics
>>>
>>>48 MDOS/SGOBO
>>>
>>>RAF Lakenheath, England
>>>
>>>Telephone DSN: 314-226-8130
>>>
>>> Comm: +44 (0) 1638 52 8130
>>>
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>>--
>>R. Daniel Braun, MD FACOG(L) CMT
>>Professor Emeritus
>>Dept. of Obstetrics and Gynecology
>>Indiana U. School of Medicine
>>
>>R. Daniel Braun
>>
>> "The way to health is an aromatic bath and scented massage
>>everyday".
>> Hippocrates
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
