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hugging ureters From: Henry Gregor (henrygregor@yahoo.com) Tue Feb 28 13:01:22 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: Fundal Pressure" Previous message: GA12L@aol.com: "Re: Echinococcal cyst in pregnancy" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Our friends, the ureters" Next in thread: LCLEMOS@aol.com: "Re: hugging ureters" Maybe reply: LCLEMOS@aol.com: "Re: hugging ureters" To palpate the ureters at vag hys, press the tips of your fingers to the pages of the textbook or surgical atlas, hehe. Agree with comments of all below. H "Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C." <johnprov@sympatico.ca> wrote: At Tue, 28 Feb 2006, Joe wrote: > >Garry: In my 40 years of vaginal hysts never palpated a ureter and never >injured one. I think secret is placement of clamps as you describe. Joe C > >Garry E. Siegel, M.D. wrote: >> Dear Gynecologists: >> >> I continue to read about palpation of the ureters at Vaginal >> Hysterectomy, and am a bit stumped at how exactly this is done. I was >> taught to hug the uterus with clamps, and stay medial as one progresses. >> >> Any enlightment on this welcome. >> >> Garry >> >> -- >> Garry E. Siegel, M.D. >> Private Practice >> Roswell, GA >> Equally important to medial placement of the clamps is good disection of the paravaginal/paracervical tissue between the uterus and bladder and uterus and rectum, would anyone feel comfortable doing an abd. hyst. with no good bladder flap(especially in someone with a a few c-sections), well why should a vag. hyst be any different. -- Take care, John Use Photomail to share photos without annoying attachments. Next message: GA12L@aol.com: "Re: Fundal Pressure" Previous message: GA12L@aol.com: "Re: Echinococcal cyst in pregnancy" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Our friends, the ureters" Next in thread: LCLEMOS@aol.com: "Re: hugging ureters" Maybe reply: LCLEMOS@aol.com: "Re: hugging ureters"

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