Re: Internal herniay

From: Eugene S. Jursek (ejursek@riker.neoucom.edu)
Sat Dec 23 19:22:33 1995


...it was much simpler to take it out????It does make one think, doesn't it? Perhaps the approach should have been rethought. I have grave misgivings about removing a normal organ because of convenience. MO. > >>Interesting case, and the photo's really are worth a 1000 words. Question: Would it have been possible to correct the deficit without removing the ovary and tube. It may not have been an issue in her but it might be in another case. Could it have been oversewn?

>We were considering using an endoscopic suturing device to close the peritoneum, however, it was much simpler to just to take it out.. (took 5 minutes..). I suppose that re-approximating the braod ligament would work, but the hardiness of the repair would, in my opinion, be in doubt.

>Geffrey H. Klein, MD
>Baylor College of Medicine
>Dept of Obstetrics and Gynecology
>Listowner: OB-GYN-L
>http://www.bcm.tmc.edu/obgyn/obgyn-ce/geff.html





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