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Re: Laparoscopic chicken From: art fougner, md (evsono@pipeline.com) Wed Jan 30 13:19:54 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff: "Re: Laparoscopic chicken" Previous message: art fougner, md: "Re: Laparoscopic chicken" In reply to: Bernard Cristalli: "Re: Laparoscopic chicken" Next in thread: Bernard Cristalli: "Re: Laparoscopic chicken" Reply: Bernard Cristalli: "Re: Laparoscopic chicken" Bernard Would you not be intimidated by the distinct possibility/probability that after 5 Sections and an exam suggesting the uterus pulled up and anteriorly that the degree of adhesion would be equal to or more than a patient who had a uterine suspension? Art At Wed, 30 Jan 2008, Bernard Cristalli wrote: > >Why not a plain vaginal one? >B > >rmodugno@aol.com a écrit : >> 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 -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Richard Chudacoff: "Re: Laparoscopic chicken" Previous message: art fougner, md: "Re: Laparoscopic chicken" In reply to: Bernard Cristalli: "Re: Laparoscopic chicken" Next in thread: Bernard Cristalli: "Re: Laparoscopic chicken" Reply: Bernard Cristalli: "Re: Laparoscopic chicken"

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