LUMBER SPONDYLITIS Č DDD WITH DERMOID OVARIAN CYST

A TYPICAL CASE ------------------------- A 65 years old patient came in ED, and her Usg show "left dermoid ovarian cyst" and MRI report show DDD at all lumber disc levels. Patient is in the stage of diplegia. She wants to surgery for removal of ovarian cyst, and later on spine surgery. O/E BP 130/90mmHg Pulse 80 bpm RR 16 bpm CVS s1 & s2 P BS normal Abdo. soft Chest B/L clear °DM N/S UL NAD LL AD Our gynecologist and anesthesia doctors is agree for surgery. Is this type of surgery will be best for this patient....or any problem occur during anesthesia ???? It will be plan after proper investigations.

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This is a case where intervertebral disc prolapse is causing paraplegia and there is ovarian dermoid cyst Spinal surgery gets far more preference than ovarian cyst surgery Disc prolapse causing paraplegia - of not operated immediately - it will result in permanent paralysis of both lower limb - a big loss which can never be compensated by any means Spine surgery is far more important than ovarian surgery!

Katibasti with Balashwagandha taila and Dhanwantharm taila for a period of 7 days or as required. Internally Cap. Palsinuron 1-1-1 after food, Tab. Ekanga veer ras 1-1-1 This will give releif from Pain and patient will move and walk. Ask to avoid all activities which produce stress to upper and lower back.

This is a PID causing paraplesia with ovartian dermoid cyst. Spinal surgery prefer.than ovarian cyst surgery.

REALLY TYPICAL CASE BUT THESE TYPES OF SURGERY WILL BE DONE UNDER A BEST ANAESTHESIA

I agree
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At dis age grp both surgery are not done in same sitting...go for spinal surgery...

Agree @Jayesh Kalbhande sir

Best

Thank you respected sir
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