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General Surgery/pelvic hematoma post surgery


In early September I had laproscopic robotic surgery to remove cysts from both ovaries.  During surgery, it was found that I had extensive endometriosis and adhesions so besides removing just the cysts on the ovaries, both tubes were removed and endo was removed/cauterized. Plus a D&C was performed while I was in surgery due to spotting.
Prior to surgery,the cysts on my ovaries were watched/scanned over the course of 1.5 years but as the right one got larger, it was suggested that surgery be done.
From about day 2 after surgery, I had discomfort in the area of my L ovary - the side that bothered me for the past few years.   
It was suggested that because my ovary had been attached to my bowel, things were probably just sore and would get better.
Last week, 7 weeks later, because no improvement in the left side achiness and sometimes outright pain (more when sitting), I was sent for an ultrasound and a 5.5x5x3.5 adnexal mass was found on the left side - the radiologist noting it was most likely a hematoma but it wasn't definitive.   My surgeon still feels this is a hematoma and to watch it for 6 more weeks and have another ultrasound to see if its being absorbed.
I just can't imagine another surgery if the hematoma/mass has to be surgically removed - this last surgery ended up being longer and harder than they expected and general recovery was slow.
My question is once a hematoma has been around for 8 weeks in the pelvis, is there still a chance my body will reabsorb it?   Is there anything I can do to help it along?  
I'm 50, haven't gone through menopause yet, am pretty healthy and take armour thyroid and prozac.
Thank you so much for any encouragement on this.

Dear Kate,

Unfortunately, if the hematoma has not decreased in size after six weeks, surgery may be necessary. The surgery required to drain hematoma is far less painful than what you have going through. Recovery time will be much quicker as well. Wishing you all the best.

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Dr. Pamela M. Cipriano, DNP, ACNP-BC


GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED


My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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