Re: Supracervical Hyst?

From: William D. McIntosh, M.D (wmcintosh@premiermed.com)
Fri Dec 16 10:12:12 2005


I use the bipolar cautery with cutter blade (Everest) as well, and I think it works wonderfully well. I tried the Ace Harmonic, but I don't like it, too much "red video". I have tried multiple times, but I just can't seem to make it work as well as the bipolar system, and what is more, when I see videos of the "experts" using it, they seem to have the same problem. I used to use a monopolar J-hook for the cervix, but recently switched to the bipolar needle from Gyrus. The Gynecare morcellator is just so sweet, as my sons would say, cooler than my first car.

WD McIntosh MD FACOG

Clarksville, TN

________________________________

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael

--
________________________________
Haciski
Sent: Thursday, December 15, 2005 10:53 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Supracervical Hyst?

What is the feeling of the assorted experts on the relative values/benefits of these different technologies:

.. bipolar cautery with built in cutter blade (Everest?)

.. harmonic scalpel

.. Gyrus

Personally, I have used the bipolar system for 20 years and am very happy with it. The bipolar forceps with built in cutter speed things up and hemostasis is excellent - never had a problem with that.

Harmonic scalpel seems to produce undue bleeding in my hands, even with appropriate mode selection, lack of tension, slow vaporization, etc.

Gyrus I have not used but am looking forward to trying.

Rafael C. Haciski MD FACOG

Palmetto FL

On Dec 15, 2005, at 13:45, ENDODOK@aol.com wrote:

Call your Gyrus rep and ask for the LSH CD. The procedure is remarkably simple

JGB --------------------------------------------------------

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