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Re: ovarian removalFrom: AllanHo@aol.comThu Feb 7 18:11:26 2008
In a message dated 2/7/2008 6:48:06 PM Eastern Standard Time, rchudacoff@mylinuxisp.com writes: I tend to bring it out through the umbilical incision, as this has the less amount of tissue between abdomen and skin. Richard Chudacoff, MD, FACOG I concur. Generally, if I expect to take out something on the large side, I would put a 12mm port through the umbilicus. I would use a 10mm scope to look during the surgery. I would then swap to a 5mm scope through one of the lower port after all the cutting and manipulation is done. Then I would put the Endobag through the umbilical port. The incision is much easier to extend if needed. It is also much easier to close the fascia afterwards. Umbilical scars are always less conspicuous also. I have an objection in principle to using a morcellator for the ovary because if there was any pathology within the ovary, the peritoneal cavity could be contaminated or seeded. I have an objection to a colpotomy because it adds complexity to a simple procedure, and it increases the risk of an infection. Allan
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