Laparoscopically Assisted Ovary Tumorectomy

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added:
3 years ago
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3926
specialty:
Gynecology

Case description

I present a case of gynecological emergencies. I made (at least) two mistakes - 1.- In the anamnesis I omitted the question to find out how pain was related to posture and movement. 2.- I confused the ultrasound image of the right ovary with the parametrial image with vessels (varicocele). This error already conditioned the clinical judgment and motivated the request for an MRI study. I present the diagnostic process without omitting the exploration of the pelvic and abdominal musculo-fascial system (Carnett's sign), the origin of many pictures of PELVIC PAIN, even acute, which are diagnosed as visceral pain and lead to surgical indications. If we consider the surgical treatment of gynecological processes, an intermediate step between laparotomy and laparoscopy should be taken into account, which is done for hysterectomy (assisted by laparoscopy) but little is recommended for, above all, ovarian-conserving surgery (Lumpectomies laparoscopically assisted). Attached bibliography of laparoscopic assisted lumpectomy and abdominal and pelvic myofascial syndrome.

tags: tumorectomy Ovary


Andrzej Sykała
Editor

Andrzej Sykała

MD

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