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Minimally Invasive Surgery Cases- Dr. Lee McAllen, Texas

Case #1 –
A 48 year old female with a history of lower right abdominal pain for three months. Her ultrasound showed a complex 7 cm right ovarian mass. Her tumor markers (blood test to screen for ovarian cancer) were within normal limits (thus not suggesting cancer).

I performed a diagnostic laparoscopy with laparoscopic removal of the ovarian mass. This was done only making three small incisions, the largest being one centimeter. The patient went home that day!!

See images below. (click on image to expand)

Ovarian mass is scarred down to the pelvic side wall, making the surgery challenging to do laparoscopically.

Ovarian mass is scarred down to the pelvic side wall, making the surgery challenging to do laparoscopically.

 

Mass has been excised from pelvic side wall, drained, and then brought through small incision

Mass has been excised from pelvic side wall, it is then drained, and then brought through small incision.

 

Case #2

A 22 year old female that presented to the ER with severe abdominal pain. Her ultrasound and CT scan showed bilateral ovarian cysts that appeared to be  dermoid ovarian cysts.  The left ovarian cyst was 12 cm and the right was 6cm.  Since she was in severe pain, I assumed she had an ovarian torsion.  This is where the blood vessels to the ovary twist multiple times and the ovary an cyst fill up with blood that is not able to return through the ovarian vein.

I performed a diagnostic laparoscopy with laparoscopic removal of her left 12 cm dermoid cyst and ovary through a 12mm (1.2 cm) incision near her belly button.  Fortunately her right ovary had not torsed, even though she had a large dermoid on that side as well. I performed a cystectomy on her right side (removed the dermoid cyst on the right, leaving her ovary on that side). This also was removed through the 12 mm incision.

 

Ovarian torsion with a 12cm ovarian dermoid cyst.

Ovarian torsion with a 12cm ovarian dermoid cyst.

Ovarian vessels have been detorsed or untwisted. Dermoid cyst filled with clotted blood (purple discoloration seen).

Ovarian vessels have been detorsed or untwisted. Dermoid cyst filled with clotted blood (purple discoloration seen).

 

Opposite ovary with dermoid cyst.  Hair present that is inside the dermoid cyst.

Opposite ovary with dermoid cyst. Hair present that is inside the dermoid cyst.

 

  • Minimally Invasive Surgery

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    Great physician!!! Dr. Lee has a tremendous understanding in female hormone issues, which has helped change my life around.  Highly recommend him to any woman looking for a doctor who listens, cares, and has the patient’s best interest in mind.
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