Re: ovarian removal
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Thu Feb 7 16:34:04 2008
I use a bag (endopouch?) and, if needed, make one of the lapscope
incisions a bit bigger. If they've had a previous low transverse
incision (prior section), then I'll usually do it there.
Garry
>
>I use the Endobag.? I find myself rarely needing to extend the incision to remove a normal sized ovary.? I leave the abdomen inflated and pull the port out with the bag.? If the bag does not want to come out,?I open the bag and grasp the ovary with a pair of Allis clamps and pull?everything out together.? If there is an ovarain cyst, I would puncture the cyst is the bag and keep everything contained in the bag before I pull it out of the abdomen.? Once in a while, I would find it necessary to extend the incision.? But I prefer that over making a new incision in the vagina and converting a clean procedure to a "clean contaminated" procedure.?
>
>Allan
>Pennsylvania
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>-----Original Message-----<br>
>From: Charlie Chambers <cchamber@embarqmail.com><br>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><br>
>Sent: Wed, 6 Feb 2008 11:05 pm<br>
>Subject: ovarian removal<br>
><br>
>
><div id=AOLMsgPart_2_b9b5057e-8074-4858-8be1-31b958013c05>Just wanted to poll the list to what strategies others use to remove ovaries from the abdomen after laparoscopic detachment. I've been using the endobag lately but it's always a chore to get it out the incision. End up doing a combination of chopping the ovary up in the bag and teasing it through the incision. Anyone have any easier methods?
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><div style="MARGIN: 0px">Charlie Chambers</div>
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><div style="MARGIN: 0px">Hood River, OR</div>
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><div style="MARGIN: 0px"><A href="mailto:cchamber@alumni.rice.edu">cchamber@alumni.rice.edu</A></div>
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><div style="MARGIN: 0px">"Almost anything you do will seem insignificant but it is very important</div>
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><div style="MARGIN: 0px"> -- Mahatma Ghandi.</div>
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><div>I use the Endobag. I find myself rarely needing to extend the incision to remove a normal sized ovary. I leave the abdomen inflated and pull the port out with the bag. If the bag does not want to come out, I open the bag and grasp the ovary with a pair of Allis clamps and pull everything out together. If there is an ovarain cyst, I would puncture the cyst is the bag and keep everything contained in the bag before I pull it out of the abdomen. Once in a while, I would find it necessary to extend the incision. But I prefer that over making a new incision in the vagina and converting a clean procedure to a "clean contaminated" procedure. <br>
><br>
>Allan<br>
>Pennsylvania</div>
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Garry E. Siegel, M.D.
Private Practice
Roswell, GA
