Re: Prior abdominoplasty--for LAVH

From: Garry Siegel (garrys@mindspring.com)
Mon Jan 28 17:56:49 2002


Listers:

She has a 6 cm ovarian cyst, which is the impetus for the hyst.

I feel an abdominal visualization is mandatory, and thus no TVH (I could lapscope, and if all is well, then just do a TVH BSO--and I might just do that).

Garry

At Mon, 28 Jan 2002, Efrain Ramirez wrote: >
>I also would start that way - if there is any complication- - can't get
>the cyst out - or any other mishap- switch abdominally --
>
>At Mon, 28 Jan 2002, Montgomery, Lynn MD wrote:
>>
>>Why not do it the old fashioned way and just take it out from below and
>>avoid messing up her abdominoplasty?
>>Lynn
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Garry
>>Siegel
>>Sent: Sunday, January 27, 2002 6:21 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: GYN: Prior abdominoplasty--for LAVH
>>
>>I'm going to do an LAVH this week in someone who has had a full
>>abdominoplasty--large transverse suprapubic scan, and a new umbilicus.
>>
>>Let's assume that I can't get the op note, and even if I did, I'm not
>>sure that it would help.
>>
>>Would you avoid a lapscope and just open her based on the prior surgery?
>>
>>If you are going to lapscope, would you do open (Hasson) technique?
>>
>>Right now, I'm favoring the latter.
>>
>>Garry
>>
>>--
>>Garry E. Siegel, M.D., F.A.C.O.G.
>>Roswell, GA
>>Private Practice
>>
>--
>"Life is neither the notes nor the silence between the notes, but the music that
> arises out of sound and silence felt as a living whole. Stop choosing...between
> chaos and order, and live at the boundary between them, where rest and action
> move together..." David Whyte
>

--
Garry E. Siegel, M.D., F.A.C.O.G.
Roswell, GA
Private Practice




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