Re: Position for operative laparoscopy

From: ainsron (ainsron@sbcglobal.net)
Fri Dec 16 10:59:24 2005


I always prefer them flat when they don't have a cervix to manipulate. Unfortunately, the nursing staff always pull the same drapes for operative cases, designed for legs in stirrups and act like it is a federal crime to get a different drape set, usually they just get a half sheet to cover the legs supine which doesn't give great sterile coverage.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Thursday, December 15, 2005 1:29 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Position for operative laparoscopy

Allen stirrups....but what's an EEA?

Jay Kulkin <jkulkin@mindspring.com> wrote:

It's been a while Garry but rotate the stirrups so the thighs are parallel to the body and not flexed back onto the patient. This optomizes visualization and will not interfere. I forget the name of the stirrups with the gel pack supports?

Jay M. Kulkin, MD MBA FACOG Women's Institute For Health PC 975 Johnson Ferry Road Suite 460 Atlanta, Georgia 30342 Ph: 404.832.0300 Fax: 404-832-0070 http://www.wifh.com

>----- Original Message -----
From: "Garry E. Siegel, M.D." To: "Multiple recipients of list OB-GYN-L" Sent: Wednesday, December 14, 2005 6:06 PM Subject: Gyn: Position for operative laparoscopy

> Does anyone ever do operative laparoscopy! with the patient supine rather
> than in laparoscopy stirrups when the patient has had a prior
> hysterectomy? I am about to do another laparoscopy in someone
> post-hysterectomy who had extensive adhesive disease post-hyst, in whom
> I need to go back with a bowel prep and general surgeon.
>
> The reason that I ask is that whenever I've had the surgeons have to
> come in for lysis of extensive adhesions, sometimes the legs get in the
> way. . .
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA

_____

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