Doctor insights on:
Exploratory Laparotomy For Ovarian Cyst
No: Removal of the appendix does not cause cystic disease if the ovaries, which is very common, and may even come and go over time. ...Read more
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more
Complex ovarian cyst w/intern.Septations, submuc. Fibroids, nabothian cysts, liver cyst, hernia. All new w/in last 8 weeks. Possible cancer? Type?
Slow down a bit...: Ok, you have a lot of issues just recently identified. I'm doubtful you have any cancer. Your biggest concern appears to be the ovarian cyst, which is probably benign, but you need to be evaluated by your gyn. The hernia is an elective process, and the liver cyst is probably congenital. Fibroids and nabothian cyst can also be evaluated by your gyn. Take a breath and make an appointment. Good luck. ...Read moreSee 1 more doctor answer
Ovarian cysts: Most ovarian cysts can be removed laparoscopically which is an outpatient procedure. It is nowadays unusual to have to be inpatient for this. This obviously depends on the expertise of your surgeon. Advanced gynecological laparoscopists rarely have to perform a laparotomy (open surgery) for ovarian cyst removal. Davinci robot-assistance may facilitate a minimally invasive approach. ...Read moreSee 1 more doctor answer
For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more
exploratory surgery +/-cyst aspiration/removal. Is this normal procedure for abdominal pain and a complex solid ovarian cyst? Drs are confusing me.
Ask MD/clarification: Ask your surgeon for clarification of your surgical case. Ovarian cysts can be aspirated or removed normally, depending upon the size and density. You need to be an advocate for yourself by asking your MD and getting an explanation that you can understand for clarity. ...Read more
It involves...: Making several tiny incisions on your abdomen to introduce a small scope/camera and small surgical instruments inside. The cyst is then separated from the ovary and taken out through one of the small incisions. Most people go home the same day, and the procedure generally takes about 60-90mins, depending on the size of the cyst. Hope this helps. ...Read more
Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions
Ovarian cyst endometriomas 8 and 5 centimeters. Dr wants to do laparotomy vs laproscopic outpatient. Is this necessary to be so invasive?
8 cm is : Rather large. I am sure your doctor considered risks v. Benefits of the operation. Not likely to be cancer at your age, but not impossible. Follow your doctor's advice. If you don't like with his advice, you can always get a second opinion, but i think it is going to be the same. ...Read more
It depends: An ovarian dermoid is a benign neoplasm (tumor) that won't spread beyond the ovary, but may continue to grow. If imaging (ultrasound or mri) suggest a dermoid, management may depend on whether there are any symptoms, the size of the tumor, whether it is growing, and whether there is any suggestion that it might be a different type of tumor or cancer. ...Read more
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