Napoles’ surgery reveals pre-cancerous cyst – doctors

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THE private doctors of Janet Lim-Napoles declared her hysterectomy on Wednesday “successful” after they found a pre-cancerous lump from her uterus.

The alleged mastermind of the P10-billion pork barrel fund scam was placed under the knife at around 8 a.m. at the government-run Ospital ng Makati (OsMak). Her uterus and two ovaries were removed.

Dr. Efren Domingo, Napoles’ obstetrician-gynecologist from St. Luke’s Medical Center, said they performed a total hysterectomy because their patient suffered from severe adenomyosis at the uterus with multiple adenomyoma.

“We removed the entire uterus and both ovaries. We are happy about the outcome,” Domingo told reporters after the two-hour operation.


He explained that Napoles’ uterus had a tumor with multiple myomas that developed over several months and eventually led to profuse bleeding.

“It is a tumor in the uterus whereby the blood of the trail cavity enters into myometrium and creates blood lakes in the myometrium. And in addition, the myometrium creates tumor, or myomas,” Domingo said.

Prior to her surgery, Napoles underwent an endometrial biopsy or the extraction of a small tissue from her uterus to determine if the cyst was benign or malignant.

The biopsy showed that the cyst in her uterus was “pre-cancerous,” which means it was in transition from benign to malignant.

While Napoles’ condition was not cancerous, Domingo said it became life-threatening due to a delay in medical attention.

Although the surgery was performed by her private doctors, Domingo said, Dr. Florentina Villanueva, the head of the Obstetrics-Gynecology Department of the hospital, was also in the operating room to observe the procedure.

Besides Domingo, Napoles’ medical team was composed of Doctors Elsie Badillo-Pascua, Efren Domingo, Leo Aquizilan, Michael Lim Villa and Nick Cruz, all from St. Luke’s Medical Center.

After the surgery, Domingo said Napoles was taken “awake and coherent with stable vital signs” to the recovery room where she is expected to stay for six to 12 hours.

He added that they will further monitor her condition.

Domingo said it will take at least a week to detect any complication in Napoles’ condition.

She is expected to remain at OsMak for another week to recover and to return for follow-up check-ups for three to four weeks.
Domingo said they will transfer full responsibility for her to the doctors of OsMak once she has fully recovered.

“As far as my team is concerned, we have the practice of signing out from the case when we feel the patient has completely recovered and is back to her normal lifestyle,” he added.

Napoles has been confined at OsMak since March 31, 2014 after the Makati City Regional Trial Court Branch 150 granted her request to be taken to a hospital and undergo surgery.

Once she recovers, Napoles will be taken back to her detention facility at Fort Santo Domingo in Santa Rosa, Laguna, where is detained on serious illegal-detention charges.

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