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Re: GYN: Pelvic Mass (long--good case)From: William J Faulkner (cougar1965@juno.com)Mon Mar 30 12:29:47 1998
>If she doesn't get better soon, we'll go back in. And if I go back >in, >I plan a hyst (maybe supracervical) and removal of the remaining >ovary. > >Garry > I am glad that this woman is your patient and not mine :-). We Monday morning quarterbacks have the luxury of hindsight, but it was not until about 1980 or so that "piece meal surgery" for pelvic inflammatory disease would have even been considered an option. The treatment, prior to the availability of all these antibiotics du jour, was total abdominal hysterectomy, bilateral salpingo-ophorectomy, wound closure by secondary intent and drainage. This may well have been what should have been done the first time you entered this sick woman's abdomen. A side point, who would have used retention sutures or at least a Smead-Jones closure, rather than running Prolene? Regards, Will
Or call Juno at (800) 654-JUNO [654-5866]
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