Re: Laparoscopic chicken

From: Richard Chudacoff (rchudacoff@mylinuxisp.com)
Wed Jan 30 13:27:34 2008


One last thought.if you don't start it laparoscopically, you cannot do it laparoscopically

--
Richard Chudacoff, MD, FACOG

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of rmodugno@aol.com Sent: Wednesday, January 30, 2008 11:00 AM To: Multiple recipients of list OB-GYN-L 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

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