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Laparoscopic chickenFrom: rmodugno@aol.comWed Jan 30 11:58:41 2008
39 year old with 5 previous c/s. Had a bladder entry with repair during one of them. One year ago had laparoscopic right oophorectomy and adhesiolysis. Op report - "extensive adhesions" ? Complains of menemetrorhagia, deep dyspareunia and worsening dysmenorrhea. ? Pelvic exam: normal size mobile anteverted uterus - tender.Reproduces pain with coitus. ? Ultrasound: normal uterus and 2cm simple left ovarian cyst. ? Patient considering hysterectomy. (See subject line above). I would do a scalpel-guided total abdominal hysterectomy with left salpingo-oophorectomy. Would any of the brave ( Glazerman? Chudacoff?)? consider? a laparoscopic approach. ? Any thoughts? Robert Modugno MD MBA FACOG Sylva, NC Content-Transfer-Encoding: 7bit Content-Type: text/html; charset="us-ascii" <div><SPAN contentEditableúlse style="DISPLAY: inline-block"></SPAN></div> <div>39 year old with 5 previous c/s. Had a bladder entry with repair during one of them. One year ago had laparoscopic right oophorectomy and adhesiolysis. Op report - "extensive adhesions"</div> <div> </div> <div>Complains of menemetrorhagia, deep dyspareunia and worsening dysmenorrhea.</div> <div> </div> <div>Pelvic exam: normal size mobile anteverted uterus - tender.Reproduces pain with coitus.</div> <div> </div> <div>Ultrasound: normal uterus and 2cm simple left ovarian cyst. </div> <div> </div> <div>Patient considering hysterectomy. (See subject line above). I would do a scalpel-guided total abdominal hysterectomy with left salpingo-oophorectomy. Would any of the brave ( Glazerman? Chudacoff?) consider a laparoscopic approach.</div> <div> </div> <div>Any thoughts?<br> </div> <div>Robert Modugno MD MBA FACOG</div> <div>Sylva, NC</div> <div class="AOLPromoFooter"> <hr style="margin-top:10px;" /> </div>
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