Re: Laparoscopic chicken

From: Bernard Cristalli (bcrist@club-internet.fr)
Wed Jan 30 13:12:09 2008


Why not a plain vaginal one? B

rmodugno@aol.com a écrit : > 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





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