--
Richard Chudacoff, MD, FACOG
Las Vegas International Center for Advanced Gynecologic Care
(Specializing in minimally and non-invasive surgery)
2481 Professional Court
Las Vegas, NV 89128
TEL: 702-485-8893
FAX: 702-974-0945
Assistant Professor
Department of Obstetrics and Gynecology
University of Nevada School of Medicine
2040 W. Charleston Blvd # 200
Las Vegas, Nevada 89102
http://www.lasvegasgyncenter.com
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-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
Siegel, M.D.
Sent: Thursday, February 07, 2008 3:35 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: ovarian removal
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
>
>Content-Transfer-Encoding: 7bit
>Content-Type: text/html; charset="us-ascii"
>
><br>
>-----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?
>
><div>
>
><div><SPAN class=Apple-style-span style="WORD-SPACING: 0px; FONT: 14px
Helvetica; TEXT-TRANSFORM: none; COLOR: rgb(0,0,0); TEXT-INDENT: 0px;
WHITE-SPACE: normal; LETTER-SPACING: normal; BORDER-COLLAPSE: separate;
border-spacing: 0px 0px; -khtml-text-decorations-in-effect: none;
-apple-text-size-adjust: auto; orphans: 2; widows: 2">
>
><div> </div>
>
><div style="MARGIN:
0px">***********************************************************************
*****</div>
>
><div style="MARGIN: 0px">Charlie Chambers</div>
>
><div style="MARGIN: 0px">Hood River, OR</div>
>
><div style="MARGIN: 0px"><A
href="mailto:cchamber@alumni.rice.edu">cchamber@alumni.rice.edu</A></div>
>
><div style="MIN-HEIGHT: 14px; MARGIN: 0px"><br>
></div>
>
><div style="MARGIN: 0px">"Almost anything you do will seem insignificant
but it is very important</div>
>
><div style="MARGIN: 0px">that you do it....You must be the change you wish
to see in the world"</div>
>
><div style="MARGIN: 0px"> -- Mahatma Ghandi.</div>
>
><div style="MARGIN:
0px">***********************************************************************
********</div>
>
><div><BR class=khtml-block-placeholder></div>
>
><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>
></SPAN></div>
></div>
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--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
