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Re: 23w pregnancy with big ovarian cyst From: Bernard Cristalli (bcrist@club-internet.fr) Tue Apr 28 13:43:11 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "History of Medecine" Previous message: Geffrey Klein: "Re: Management Please" Maybe in reply to: baranakis haris: "23w pregnancy with big ovarian cyst" Next in thread: DoctorJoe: "Re: 23w pregnancy with big ovarian cyst" Hi, A true surgical treatment is needed in this condition. Forget the puncture (cf Marco's post). Laparoscopy at this term with the correspondent uterine size and with this size of cyst is rather difficult for a lower abdominal procedure. A short open procedure seems to be easier, quicker and safer. -- baranakis haris wrote: > > Hello member list > I want your help about a patient . She is 24yo ,2p, 2g and 23 w > pregnant now , 1st baby with cesarean section. I made a scan and i found > a big cyst ( guess ovarian) 10 cm outside uterus. At 1st trimester scan > the cyst was 3 cm without any symptoms. Now she complains about low > abdominal discomfort and i notice an on the right dislocation of the > uterus. I am afraid of 3 trimester complications so i decided to remove > cyst. I haven't other experience with pregnancy complicated with big > ovarian cyst so i wonder what would be the best approach, so i want > your advice. > a. Open surgery and cyst removal > b. laparoscopic puncture of the cyst and if is safe as well removal( > laparoscopy is contradicated at pregnancy?) > c. transdermal or transvaginal puncture of the cyst with u/s guided > needle aspiration > d. any other suggestion? > i vote c if i can find a good window. What are the possible > complications? > -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "History of Medecine" Previous message: Geffrey Klein: "Re: Management Please" Maybe in reply to: baranakis haris: "23w pregnancy with big ovarian cyst" Next in thread: DoctorJoe: "Re: 23w pregnancy with big ovarian cyst"

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