WOMENS-HEALTH Messages for August, 2002: Re: Surgery to remove ovarian cyst ??

Re: Surgery to remove ovarian cyst ??

From: Asem Anwar Moussa MD (anonymous@obgyn.net)
Sun, 25 Aug 2002 10:34:09 -0500 (CDT)

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Reply: Curious: "Re: Surgery to remove ovarian cyst - one more question."

At Sun, 25 Aug 2002, Curious wrote: >
>One of the arguments against laparoscopy for a known malignant cyst is
>that the cyst may be punctured or ruptured during laparoscopic removal
>and the fluid then spread cancer cells throughout the abdominal cavity.
>If an apparently simple cyst does contain cancer cells and that cyst
>ruptures can its fluid then spread those cancer cells throughout the
>abdominal cavity?
>
>I am 10 years post menopause. I've indicated I prefer the full
>abdominal incision rather than the pubic "smiley" or the laparoscopy.
>Several of my friends, some of them nurses, think I am foolish that I've
>opted for the laparatomy rather than laparoscopy.
>
>I've had the pubic "smiley" for a tubal ligation. I've had the full
>abdominal incision for intestinal surgery. I didn't experience the gas
>pains everyone complains about after laparascopy and am not interested
>in experiencing them. I didn't find the "smiley" or the full abdominal
>surgery recoveries that painful or difficult. (Of course I was in my
>early 30's then).
>
>I never thought to ask - since the cyst is on the left ovary will they
>or won't they use the old intestinal surgery incision? It is full length
>but goes around the right side of the naval instead of the left.
>
>The decision I am having trouble making is whether to have the surgery
>performed by a local gyn whom I like very much and have been comfortable
>with or at a nearby top national teaching hospital for both gynecology
>and oncology departments by a gyn/onco whom I personally dislike despite
>his being the dept head. My dislike has nothing to do w/his surgical
>skills, he is excellent. He just has too much ego which rubs me the
>wrong way.

Yes the pervious scar of the old intestinal surgery would be the site of the next surgery&it gives a good access to the left ovary.&your cyst removal can be handeled effeciantly by your local gynecologist.

--
Dr:Asem Moussa MD
Prof.of OB/GYN.
Alazhar School of Medicine.
Cairo-Egypt
This is for teaching purpose

Next message: Maddy: "Re: My 13 year old is having itching after 1st period - please help ASAP!!"
Previous message: Asem Anwar Moussa MD: "Re: Chronic pain on right side - any assistance please"
In reply to: Curious: "Surgery to remove ovarian cyst ??"
Next in thread: Curious: "Re: Surgery to remove ovarian cyst - one more question."
Reply: Curious: "Re: Surgery to remove ovarian cyst - one more question."

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