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Re: Laparoscopic chicken From: Gordon Goldman (obgyndoc@swbell.net) Wed Jan 30 12:27:12 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Laparoscopic chicken" Previous message: Ronald Ainsworth: "Re: Laparoscopic chicken" In reply to: rmodugno@aol.com: "Laparoscopic chicken" Next in thread: Bernard Cristalli: "Re: Laparoscopic chicken" Bob, You might consider placing a Verres and 2mm scope in the LUQ (midclavicularline) and take a peek. If all looks well, proceed with L/S. If not proceed with B/P. -- Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Mo. On Jan 30, 2008, at 1:00 PM, rmodugno@aol.com wrote: > 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: Bernard Cristalli: "Re: Laparoscopic chicken" Previous message: Ronald Ainsworth: "Re: Laparoscopic chicken" In reply to: rmodugno@aol.com: "Laparoscopic chicken" Next in thread: Bernard Cristalli: "Re: Laparoscopic chicken"

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