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Re: Gyn - 2 new clinical cases From: Dan Logen (pdl@whidbey.net) Wed May 19 23:34:06 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dan Logen: "Re: Cervical length question" Previous message: Roger Klam, M.D.: "Re: Gyn - 2 new clinical cases" Maybe in reply to: John Robertson M.D.: "Gyn - 2 new clinical cases" Next in thread: Malcolm Griffiths: "Re: Gyn - 2 new clinical cases" Reply: Malcolm Griffiths: "Re: Gyn - 2 new clinical cases" John, First case: I am using a small glove, like size 6, and put a purse string suture around the wrist end. This saves the cost of the commercially available bags. I usually just make the skin incision large enough to "pop" out the glove with contents. Second case: Yes, I have had exactly this situation. I established that the pain was identical whether coitus accompanied the orgasm or not. Pain resolved with hysterectomy. I don't remember now if the path report documented adenomyosis or not. I would assume the diagnosis would be that or pelvic congestion. -- Dan Logen Private Practice OB-GYN Mt. Vernon, WA > First case: Was taking out a dermoid laparoscopically and was again > frustrated that most of the time was spent in getting it out of the > abdomen, not removing it from the ovary. Eventually got it into a bag, > but had to morcellate it to get it through the incision. Broke the > first bag, cleaned up, put it in another bag and finally got it out. > What are other people doing to get masses out laparoscopically? > > Second case: Woman who gets pain only after orgasm. Usually delayed > several hours to a day after and can last 3-5 days. If she has another > orgasm in that time the pain intensifies significantly. I was thinking > fibroid, adenomyosis, uterosacral ligament etiology. Anyone ever seen > this? Any comments? > > -- > J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9, Canada > (604) 793-9988 e-mail john.robertson@obgyn.net > Who is wise and understanding among you? Let him show it by his good life, > by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV Next message: Dan Logen: "Re: Cervical length question" Previous message: Roger Klam, M.D.: "Re: Gyn - 2 new clinical cases" Maybe in reply to: John Robertson M.D.: "Gyn - 2 new clinical cases" Next in thread: Malcolm Griffiths: "Re: Gyn - 2 new clinical cases" Reply: Malcolm Griffiths: "Re: Gyn - 2 new clinical cases"

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