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Re: Laparoscopic chicken From: Ronald Ainsworth (ainsron@sbcglobal.net) Wed Jan 30 12:06:25 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gordon Goldman: "Re: Laparoscopic chicken" Previous message: Garry E. Siegel, M.D.: "Gyn: You can't please all of the people all of the time--long" Maybe in reply to: rmodugno@aol.com: "Laparoscopic chicken" Next in thread: Gordon Goldman: "Re: Laparoscopic chicken" I also would do this patient open, otherwise, you might as well have your malpractice carrier write her a check in advance of the surgery. >----- Original Message ---- From: "rmodugno@aol.com" <rmodugno@aol.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Wednesday, January 30, 2008 11:00:32 AM Subject: Laparoscopic chicken 39 year old with 5 previous c/s. Had a bladder entry with repair during one of them. One year ago had laparoscopic right oophorectomy and adhesiolysis. Op report - "extensive adhesions" Complains of menemetrorhagia, deep dyspareunia and worsening dysmenorrhea. Pelvic exam: normal size mobile anteverted uterus - tender.Reproduces pain with coitus. Ultrasound: normal uterus and 2cm simple left ovarian cyst. Patient considering hysterectomy. (See subject line above). I would do a scalpel-guided total abdominal hysterectomy with left salpingo-oophorectomy. Would any of the brave ( Glazerman? Chudacoff?) consider a laparoscopic approach. Any thoughts? Robert Modugno MD MBA FACOG Sylva, NC More new features than ever. Check out the new AOL Mail! Next message: Gordon Goldman: "Re: Laparoscopic chicken" Previous message: Garry E. Siegel, M.D.: "Gyn: You can't please all of the people all of the time--long" Maybe in reply to: rmodugno@aol.com: "Laparoscopic chicken" Next in thread: Gordon Goldman: "Re: Laparoscopic chicken"

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