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Morcellators
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<blockquote data-quote="blacksheep10" data-source="post: 529053" data-attributes="member: 13"><p>I didn't know such a thing existed, but now I'm reading up on them. Wife is getting a hysterectomy right now and I'm in the waiting room. We don't talk a bunch as it normally ends up in an argument. I like to research things and she likes to take people's word for it and get angry with me when I start asking questions. So the doc is telling me he's doing this laparoscopically (she indicated it would be vaginally on the way up) and I asked how they take an ovary that has a 2.5" mass on it out of a 1/4" hole. He gets this pained look and tries to gently explain a morcellator. I simplify it by replying with, "so it's a wand blender with a vacuum attached to it". He was even less thrilled with having to agree with that. I asked what if the cyst on the ovary is bad stuff how do you keep that from getting all over her insidey parts when you attack it with the magic bullet blender. He said he will try to suck the liquid out first. </p><p>So as I'm sitting there listening to them talk to each other I start googling Morcellation. Sweet the FDA advises against it. She has already signed consent forms at this point and has the relax me drugs flowing. Here is a snippet from FDA.gov</p><p></p><p></p><p>"Importantly, based on an FDA analysis of currently available data, it is estimated that 1 in 350 women undergoing hysterectomy or myomectomy for the treatment of fibroids is found to have an unsuspected uterine sarcoma, a type of uterine cancer that includes leiomyosarcoma. If laparoscopic power morcellation is performed in women with unsuspected uterine sarcoma, there is a risk that the procedure will spread the cancerous tissue within the abdomen and pelvis, significantly worsening the patient's likelihood of long-term survival. For this reason, and because there is no reliable method for predicting whether a woman with fibroids may have a uterine sarcoma, the FDA discourages the use of laparoscopic power morcellation during hysterectomy or myomectomy for uterine fibroids."</p><p></p><p>Soooo lets hope this uterus problem she's having along with the ovarian enlargement aren't cancer. 1 in 350? That's a shitty gamble for the doctor to have taken without talking about risk factors.</p></blockquote><p></p>
[QUOTE="blacksheep10, post: 529053, member: 13"] I didn't know such a thing existed, but now I'm reading up on them. Wife is getting a hysterectomy right now and I'm in the waiting room. We don't talk a bunch as it normally ends up in an argument. I like to research things and she likes to take people's word for it and get angry with me when I start asking questions. So the doc is telling me he's doing this laparoscopically (she indicated it would be vaginally on the way up) and I asked how they take an ovary that has a 2.5" mass on it out of a 1/4" hole. He gets this pained look and tries to gently explain a morcellator. I simplify it by replying with, "so it's a wand blender with a vacuum attached to it". He was even less thrilled with having to agree with that. I asked what if the cyst on the ovary is bad stuff how do you keep that from getting all over her insidey parts when you attack it with the magic bullet blender. He said he will try to suck the liquid out first. So as I'm sitting there listening to them talk to each other I start googling Morcellation. Sweet the FDA advises against it. She has already signed consent forms at this point and has the relax me drugs flowing. Here is a snippet from FDA.gov "Importantly, based on an FDA analysis of currently available data, it is estimated that 1 in 350 women undergoing hysterectomy or myomectomy for the treatment of fibroids is found to have an unsuspected uterine sarcoma, a type of uterine cancer that includes leiomyosarcoma. If laparoscopic power morcellation is performed in women with unsuspected uterine sarcoma, there is a risk that the procedure will spread the cancerous tissue within the abdomen and pelvis, significantly worsening the patient’s likelihood of long-term survival. For this reason, and because there is no reliable method for predicting whether a woman with fibroids may have a uterine sarcoma, the FDA discourages the use of laparoscopic power morcellation during hysterectomy or myomectomy for uterine fibroids." Soooo lets hope this uterus problem she's having along with the ovarian enlargement aren't cancer. 1 in 350? That's a shitty gamble for the doctor to have taken without talking about risk factors. [/QUOTE]
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