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Laparoscopic treatment of incarcerated hernia through right broad ligament in patients with bilateral parametrium defects.
A 43 year old, gravid 4, para 3, 127 lb, 5 ft 1”, status post hysterectomy, was referred to us for management of a cyst on both of her ovaries. During laparoscopic intervention the patient was found to have severe abdominal and pelvic adhesions. Extensive adhesiolysis was performed and ovaries removed. Cystoscopy with indigo carmin injection proved ureteral integrity. Bladder hydrodistension test revealed a bladder capacity of 950 cc under 70 cm of water pressure and glomerulations in all four quadrants consistent with early interstitial cystitis. Estimated blood loss was 800 and operative time was 5 hours 23 minutes. The case demonstrates how a case that looks initially impossible is usually far from it.
Interview with Dr. Richard L. Heaton from the Heart of Georgia Women's Center, Warner Robins, GA
Bowel bags are transparent sterile plastic bags that had no practical application in gynecology. In this video we describe the bowel bag isolation technique used in cases of large pelvic masses, solid and cystic, that are felt to be at a low but real risk of malignancy. This technique protects the peritoneal cavity from contamination with malignant cells during morcellation or cyst rupturing.
Interview with Dr. Richard L. Heaton, Heart of Georgia Women's Center, Warner Robins, GA
10-Feb-2013 12:41:38 PM GMT
24-Aug-2012 06:03:55 PM GMT
13-Mar-2011 07:49:44 AM GMT
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