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Re: 'scoping dermoidsFrom: W. Brown (cbrowne@wordworks.com)Sat Dec 9 19:34:40 1995
>we've done about 15-20 dermoids and removed them intact through culdotomy incisions or after aspirating cyst contents and irrigating remaining sebacious material all without any adverse reactions. important to know that there have been adverse outcomes after these procedures in very competent hands. what else would you like to know?
>jay m. kulkin, m.d. Have also had a significant experience managing dermoids laparoscopically, although I tend to remove them through the umbilicus rather than the culdesac. Once either cystectomy or oophorectomy is completed, the tumor is placed in a sterile plastic bag (several commercial products available), the ends of which are brought out the umbilicus. Traction is placed on the bag, bringing the mass up into direct vision through the umbilical incision. The mass is then decompressed, and the cyst contents are either aspirated away &/or removed in pieces, all without worry of spillage. This can be rather tedious (my last had 16 teeth!!), but it avoids a culdotomy incision. ******************** W. Brown, III, M.D. Los Gatos, CA -- cbrowne@best.com
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