YOUNG-WOMEN Messages for January, 2001: Re: Dermoid Tumor: Laparoscopy or Surgery

Re: Dermoid Tumor: Laparoscopy or Surgery

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 2 Jan 2001 14:46:46 -0600 (CST)

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At Tue, 2 Jan 2001, Jan wrote: >
>Please tell me what is better the method to remove a Dermoid Tumor 4cm
>in left ovary.
>
>Laparoscopy or regular surgery?
>
>I hear that Laparoscopy is less painfull and has a faster recovery.
>
>--
>Jan
>

Laparoscopy is less painful and does have a faster recovery, but there is a greater chance of rupturing the dermoid. The stuff inside the dermoid is very irritating to the pelvis and abdomen, and can cause all sorts of problems. So, the real question is how good a lapraroscopic surgeon is your doctor, and can you live with the results if the cyst is opened inside of you. To put it in perspective, I am a crackerjack laparoscopic surgeon, and I am quite hesitant to try to remove dermoids that are 5cm or better throught the scope, and I am quick to abort the scope approach once we start if the conditions are not good. Still, I do usually start with the scope, just on the hope that we can take care of it that way.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is neither designed nor intended to replace consultation with and examination by a licensed medical professional.

Please, no private e-mails.  I will not be able to answer them.

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