Peritoneal Inclusion Cyst

I have had two prior surgeries in the past two years for peritoneal cysts performed by general surgeon and gynecologist. I have had several pelvic surgeries in years past for colon resection and J-pouch which has left me with much scar tissue.   I currently have two approx. 9cm cysts.  I was referred by my local gynecologist to see a gynecologist in Philadelphia. I am scheduled for total hysterectomy but now my local gynecologist is saying that that my not be the way to go due to possible bowel damage and possible reoccurance of cysts even after hysterectomy.  I can't seem to get answers as to what should be done with the current cysts and which type of doctor I should be going to that specializes in peritoneal cysts.    Any advice would be grealty appreciated.

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[Elaine Brown, MD]

Hi!
If you were my patient, I would tell you that I would probably NOT perform a hysterectomy solely because of peritoneal inclusion cysts.  If there are other reasons, such as pain, heavy bleeding, etc. then it might be an appropriate solution.
IF I were going to perform a hysterectomy for reasons such as fibroids or adenomyosis, I would definitely take an abdominal approach (not laparoscopic or vaginal), and I would include a general surgeon as my assistant.
I would try to avoid a hysterectomy if possible because of the risk that MORE scar tissue would form, since scar tissue forms after each additional surgery.
I hope this is helpful to you!
Good luck!
Dr B