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GENERAL: When is laparoscopy NOT an option

From: Kris (anonymous@obgyn.net)
Wed, 25 Apr 2007 14:08:15 -0500 (CDT)


I need surgery due to a large solid cyst on my enlarged right ovary. I've had a lot of pain for a while, so hopefully removing the cyst and any more endo that's found will cure that. My gyn has also mentioned the possibility of my ovary coming out if it "doesn't look good"; he thinks there are adhesions.

My question is... does there come a point where laparoscopy isn't really a feasable option? I've had 2 scopes, 2 c-sections, and an abdominal hysterectomy. Does this mean that doing my surgery with the scope isn't the best way to do it? When I spoke with him last week, he said he'd likely start with the scope, but then switch to a laparotomy if the ovary did need to come out. Now, it sounds like he may be rethinking this plan.

I was just curious if there is some sort of standard as to when a patient isn't a good candidate for a scope anymore.

Thanks for any insight, Kris age 32






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