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Re: Ovarian Mass at TVHFrom: ainsron (ainsron@sbcglobal.net)Tue Jun 15 18:25:33 2004
I would probably drain it with a needle and complete the removal vaginally, send fluid for cytology. Irrigate profusely after removal to avoid any potential seeding. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, June 15, 2004 4:01 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: Ovarian Mass at TVH 62 YO P3003 with symptomatic procidentia, otherwise normal exam. At planned TVH/BSO/repairs and sacrospinous ligament fixation, after the uterus was out, the left ovary was, lo and behold, 6-8 cm., white, smooth, no excresances, etc. The other ovary/tube/pelvic structures were all pristine, there was no ascites when opening the peritoneal cavity, and the enlarged ovary was not evident to me during examination under anesthesia. At this point, both infundibulopelvic ligaments are accessible, meaning that transvaginal removal is possible. However, I'm not so sure that I can get the ovary out without rupture. What would you do? I've already done it and know the results! Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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