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OB-GYN surgery ?

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The patient is a 44-year-old female, gravida 4, para 2, who was admitted to

the hospital on 9/29/99 for a hysteroscopic resection of an endometrial

lesion, submucous fibroid vs. polyp and diagnostic laparoscopy for

persistent ovarian cyst, possible operative laparoscopy. The patient was

found on routine exam to have a s/l firmness? in the adnexae. She had a

normal s/l ??CO 125??. A transvaginal sonogram also revealed an endometrial

polyp vs. a fibroid and s/l ??a sonohystogram also attested to?? fibroid.

The pelvic examination has already been mentioned. There was a s/l hermus?

in both adnexae.

At the time of the operation, an s/l internatal? small laceration was noted

in the posterior peritoneum with a posterior retroperitoneal hematoma.

Also, is it hysteroscopic resection - it almost sounded like cystoscopic

resection? My spellchecker came up with internatal, but I cannot verify it

in my Medical Dictionary. Any help on any of these question marks would be

appreciated.

Bev W. walhof@...

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