Re: GYN: Ovarian Mass at TVH

From: Charlie Chambers (cchamber@gorge.net)
Wed Jun 16 13:51:13 2004


I would remove. I do like the suggestion of the endobag technique.

On Jun 15, 2004, at 4:00 PM, Garry E. Siegel, M.D. wrote:

> 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
>
************************************************************************ **** Charlie Chambers

--
Hood River, OR  USA
cchamber@alumni.rice.edu

"...not because I regard fishing as being so terribly important but because I suspect that so many of the other concerns of men are equally unimportant-and not nearly so much fun." John Voelker ************************************************************************ *****





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