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Re: Laparoscopic chicken From: rmodugno@aol.com Wed Jan 30 17:08:47 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ND84MD@aol.com: "Re: Laparoscopic chicken" Previous message: rmodugno@aol.com: "Re: Laparoscopic chicken" In reply to: art fougner, md: "Re: Laparoscopic chicken" Next in thread: Richard Chudacoff: "Re: Laparoscopic chicken" No, Capt. Ahab, she's not obese! Robert Modugno MD MBA FACOG Sylva, NC -----Original Message----- From: art fougner, md To: Multiple recipients of list OB-GYN-L Sent: Wed, 30 Jan 2008 3:18 pm Subject: Re: Laparoscopic chicken 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" > > > >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 > > >More new features than ever. Check out the new http://o.aolcdn.com/cdn.webmail.aol.com/mailtour/aol/en-us/teart fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: ND84MD@aol.com: "Re: Laparoscopic chicken" Previous message: rmodugno@aol.com: "Re: Laparoscopic chicken" In reply to: art fougner, md: "Re: Laparoscopic chicken" Next in thread: Richard Chudacoff: "Re: Laparoscopic chicken"

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