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Re: Laparoscopic chicken From: Bernard Cristalli (bcrist@club-internet.fr) Wed Jan 30 14:00:24 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: Gyn: You can't please all of the people all of the time" Previous message: Gordon Goldman: "Re: Gyn: You can't please all of the people all of the time--long" In reply to: art fougner, md: "Re: Laparoscopic chicken" Next in thread: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Reply: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Reply: Raymond Stephen: "Re: Laparoscopic chicken" Perhaps, but why not have a try. It's often surprinsingly easy to do it vaginally in those circumstances, even with true "anterior ventrosuspensions". If it doesn't work you convert. What's the risk? To succeed... Bernard art fougner, md a écrit : > 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: Dr Eberhard W Lisse: "Re: Gyn: You can't please all of the people all of the time" Previous message: Gordon Goldman: "Re: Gyn: You can't please all of the people all of the time--long" In reply to: art fougner, md: "Re: Laparoscopic chicken" Next in thread: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Reply: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Reply: Raymond Stephen: "Re: Laparoscopic chicken"

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