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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Surgery For Ovarian Cyst Removal, Fluid Filled Mass, Bloating. Again Suggest Uterus Removal. Is It Normal ?

Hello, I had surgery yesterday with a gynecological oncologist. I had ovarian cysts on the right ovary and a "large fluid filled mass" on the right side. My CA-125 was 47. Also, I have had consistent and significant bloating/pain - to the point that I look pregnant. Bowel changes - either diarrhea or constipation. I have had a low grade fever (about 100) on a pretty regular basis. In a couple of months, I lost about 20 pounds without trying - no appetite and get full fast.
Originally, the surgeon (who I only met with one time) said he was going to perform an exploratory laparatomy. The surgery yesterday was 3 small incisions on the left - even though the primary issues were on the right. Does that sound appropriate?
He said that it's not cancer. But, he said that I have endometriosis and adenomyosis. He said that he will need to do another surgery, but would need to wait at least 6 weeks (I guess for recovery). If he needs to remove the uterus, shouldn't he have done it yesterday? We had already talked about it and I said that I was fine with a hysterectomy. My other concern is that they didn't do any labs (that I'm aware of) post-surgery. Is that normal? Thanks!!!
Tue, 23 Jul 2013
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OBGYN 's  Response
Hello
Thanks for your query.
If you had extensive endometriosis and adenomyosis, then due to dense adhesions the surgery would not have been possible.
To have a look at the pathology, which is more on the right, the port is generally inserted from the left, so that is okay.
ALso, he would have asked you to wait for 6 weeks, because certain injections are given to lessen the vascularity and adhesions.
Take care.
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Had Surgery For Ovarian Cyst Removal, Fluid Filled Mass, Bloating. Again Suggest Uterus Removal. Is It Normal ?

Hello Thanks for your query. If you had extensive endometriosis and adenomyosis, then due to dense adhesions the surgery would not have been possible. To have a look at the pathology, which is more on the right, the port is generally inserted from the left, so that is okay. ALso, he would have asked you to wait for 6 weeks, because certain injections are given to lessen the vascularity and adhesions. Take care.