Re: Laparoscopic chicken
From: art fougner, md (evsono@pipeline.com)
Wed Jan 30 13:16:10 2008
Does she have bruises from being poked with eleven foot poles?
Art
At Wed, 30 Jan 2008, rmodugno@aol.com wrote:
>
>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 contentEditableślse 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>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
|
|
