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Re: Analgesia for Vag Hysts From: Efrain Ramirez (eramirezt@coqui.net) Fri Sep 5 15:23:16 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodríguez: "Re: Analgesia for Vag Hysts" Previous message: Efrain Ramirez: "Re: IUD & CIN" Haven't heard that - and you are right - typically pain is not an issue in Vag Hysts... >At Fri, 5 Sep 2003, Lynn D. Montgomery, M.D. wrote: > >Heh y'all, >Another new one on me today. I was just about to begin a vag hyst when >the anesthesiologist asked me if I was going to use the "new" technique >of injecting the pedicles, as I did my hyst, with local anesthetic. I >said "say what". He then told me that because of difficultly >encountered in controlling postoperative pain following a vaginal >hysterectomy "several" gynecologists were using this technique. When I >asked for references, he simply told me that it came from the University >of Washington. > >I responded with the following points: > >1. I have done hundreds of vag hysts and pain typically isn't a problem > >2. Injecting into what are primarily vascular pedicles would seem risky >to me > >3. If there is concern about post-op pain management, then why not do a >combined anesthesia with regional/duramorph followed by general or even >a epidural PCA. > >He simply responded by telling me that he was only telling me what was >the "newest" technique for a vag. hyst. > >Any comments? >Lynn > >-- >Lynn D. Montgomery, M.D. >Rocky Mountain Women's Health >2835 Fort Missoula Rd., Suite 303 >Missoula, Montana, 59804 >406-549-0978 >fax 406-549-0987 >e-mail: apgar10@montanadsl.net > -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Gerald P. Rodríguez: "Re: Analgesia for Vag Hysts" Previous message: Efrain Ramirez: "Re: IUD & CIN"

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