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Re: Supracervical Hyst? From: Larry Glazerman (l.glazerman@rcn.com) Fri Dec 16 12:51:17 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: William D. McIntosh, M.D: "Re: Supracervical Hyst?" Previous message: ainsron: "Re: Position for operative laparoscopy" In reply to: ainsron: "Re: Supracervical Hyst?" Next in thread: R. Daniel Braun: "Re: Supracervical Hyst?" Reply: R. Daniel Braun: "Re: Supracervical Hyst?" All interesting comments, confirming the numerous ways to skin a cat. Regarding the Harmonic ACE, the key with that device is to resist the natural temptation to put the tissue under tension (which was a necessary step with the OLD Harmonic Scalpel). If you let the energy do the work, with the tissue under NO tension, there's virtually no blood loss. I don't know which "Experts" Dr. McIntosh has seen, but several folks, including Steve McCarus, routinely do this with virtually no blood loss. I'd be happy to share one of my videos (unedited if the group would like), to demonstrate. Roberta/Barbara - I'd be happy to do this for the "Hysterectomy U" or however you'd like it. Maybe a series of videos comparing different energy sources for TLH/LSH would be of benefit to the group. -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC larry.glazerman@lvh.com _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron Sent: Friday, December 16, 2005 12:57 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Supracervical Hyst? I use the 5 or 10 mm Gyrus PK bipolar down to and including the uterine arteries, then morcelate. I use the harmonic scalpel to come across the cervix, sometimes unipolar scissors on cutting current. I have recently started using the 5mm LigaSureT Lap by Valley Lab instead of the PK and actually like it better than the PK, it doesn't stick to the pedicles. The only problem I've noticed with it is that sometimes it slips off the pedicle while cauterizing, probably due to swelling in the tissue as it desiccates. If you hold steady pressure, rather than relying on the lock it seems to hold the tissue better. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael Haciski Sent: Thursday, December 15, 2005 8:54 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 Next message: William D. McIntosh, M.D: "Re: Supracervical Hyst?" Previous message: ainsron: "Re: Position for operative laparoscopy" In reply to: ainsron: "Re: Supracervical Hyst?" Next in thread: R. Daniel Braun: "Re: Supracervical Hyst?" Reply: R. Daniel Braun: "Re: Supracervical Hyst?"

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