Re: Unusual surgical problem

From: Efrain Ramirez (eramirezt@coqui.net)
Fri Oct 7 18:57:38 2005


Been out a few days -

Agree on Vag Hyst..

On Garry's PIH - nice job -

Lost surgical specimen? - I have a lawsuit because OR personnel lost the specimen -- a 14-16 weeks uterus - nice uh? - they are now (on their 3rd amendment of their lawsuit) arguing lack of proper informed consent..uf!

ef

At Fri, 7 Oct 2005, R. Daniel Braun wrote: >
>VAG HYST
>Dan
>
>On 10/6/05, William McIntosh <wdmcintosh@charter.net> wrote:
>>
>> I had a weird problem in the OR today that I have never encountered
>> before.
>> Our newest associate and I were doing her first LSH. I have done a couple
>> of hundred of them, but we ran into something I have never seen before. e
>> lost the uterus. I mean that literally. After the uterus was detached fr m
>> the adnexae and the cervix, we have to pause for a moment to insert the
>> morcellator. The uterus usually stays in the pelvis, but even if it
>> doesn't, it is easily located when needed. This time it was gone. We spe t
>> over an hour looking for it, even placing an extra port. We rotated the
>> table from side to side, Trendelenburg, reverse Trendelenberg, until
>> finally
>> we were actually contemplating changing to a laparatomy. As a last resor ,
>> we actually sat the patient upright, and it appeared from somewhere, I
>> don't
>> know where. Now, I know what you are thinking, it was some little harmle s
>> 60 gram uterus, but the fundus was about 250 grams after removed. I was o
>> angry at myself during the time we were looking for it; I thought I was
>> going to blow an aneurysm. Has anyone else every lost the anatomical
>> feature
>> being removed other than me?
>>
>> WD McIntosh, MD, FACOG
>> Clarksville, TN
>>
>--
>R. Daniel Braun
>Kinky for Governor
>

--
"Character may be manifested in the great moments, but it is made in the
small ones."

- Phillip Brooks

~walt whitman~





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