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My post op reportFrom: Kathy (anonymous@obgyn.net)Thu, 24 Oct 2002 19:13:06 -0500 (CDT)
Thanks to Dr. Lapidus for allowing me to post this! Can you tell me what BUS means? just curious! Here goes (it's edited to fit) and thanks again! 4-19-2001 Gross findings at the time of surgery revealed previous low transverse scar in the lower abdomen. The external gentialia and BUS were negative. The vagina was normal. The cervix was status post LEEP but well healed. The uterus was anteverted and small. No adnexal masses were appreciated. At the time of laparoscopy, the uterus was slightly boggy and blanched with pressure from the probe, consistent with adenomyosis. There was a powder burn lesion of endometriosis in the right ovarian fossa. The left tube was adherent to omentum and the descending colon was adherent to the left adnexal structures as well. There was some asymmetry of the posterior deep cul de sac and some scarring just underneath the right uterosacral ligament that was consistent with endometriosis as well. The upper abdomen appeared normal. The pelvis and abdomen were inspected with the findings as noted above. Because of the close adherence of the bowel to the left adnexa, I could not lyse those adhesions, particularly because the pain was not concentrated on the left side. The powder burn endometriosis on the right side was very close to the course of the ureter and she had a band like adhesion from the right ovary down to the right side wall. There was scarring in the deep cul de sac, again consistent with endometriosis. There was some bleeding from the lower site and so I placed a #8 French pediatric Foley through the lower sheath, inflated the balloon, pulled it back into the incision and kept a tamponade for three to four minutes. Then we deflated the balloon and hemostasis was assured.
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