Re: LSH was UAE Option

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Aug 27 20:58:31 2004


Larry:

Agree that the morcellation takes a good while if the uterus is big.

What is your sequence of events, i.e.

1. Secure the infudibulo-pelvis or utero-ovarians and rounds. 2. Disconnect from the fundus. 3. Create a bladder flap. 4. Secure the uterines. 5. Morcellate in-situ.

Morcellation while attached (I've never done it) sounds like it might be easier, as the uterus is held still by its attachment to the cervix.

On the other hand, it seems like it might bleed more, as normally I amputate, put the specimen aside in the abdomen, and acheive hemostasis on the stump and THEN morcellate.

What do you do?

Do others leave the uterus attached?

Garry

PS--agree with William that someone with good lapscope skills can do these with a bit of coaching. That is how I learned, so I guess my comment is a bit self-serving.

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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