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Re: HoustonFrom: Richard Chudaoff (rchudacoff@mylinuxisp.com)Tue Aug 22 08:51:43 2006
If you want to come, and are flexible within a few weeks, I can call either the Ethicon or J&J rep to arrange it. Or it you arrange a few cases I can come up, same deal. If I come up you'd get more hands on experience. Better yet, do both. We are in the process of setting up a teaching facility here so the more interest, the better for me. And yes, there is a reason that Houston, Hell and Humidity all start with H Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Tuesday, August 22, 2006 5:49 AM To: Multiple recipients of list OB-GYN-L Subject: Houston Richard, I had the pleasure of having to overnight in Houston last week. Damn your city is HOT!!! We were on our way to Anchorage but got delayed leaving London (no big surprise). I was glad to get to mild Alaskan summer after having drenched my shirt just walking a block to TGI Fridays! Just out of curiosity though, how would any of us arrange a teaching session in laparoscopic hyst? I just can't seem to get myself to dissect beyond the broad ligament, ie uterine vessels. Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudaoff Sent: Monday, August 21, 2006 11:38 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: How to approach a case Garry If you don't scope her first, then you will never know which cases are scope cases and which cases are open cases. I'm performing my first scheduled open case in three years Wednesday for an 11x25x28 cm uterus, only because MRI suggests it is a leiomyosarcoma. Example...patient with three previous c-sections and a 16 week sized uterus for hysterectomy. We scoped her and the omentum was entirely plastered to the anterior abdominal wall and anterior of the uterus. Had we opened her, it would have taken 30-45 minutes to just get into the pelvis. Instead we just did the procedure under the omentum, skin to skin in 65 minutes. However, if there is no one else available I am always willing to travel and teach laparoscopic surgery, or have you come out to Houston. Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, August 21, 2006 5:08 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: How to approach a case Dear all: Thanks for the input. I am contemplating a transverse incision, likely a Maylard to get more room to work if it is a mess. However, given the fact that this could be an adherent mess, I have thought about a midline one, with my only hesitation being the fact that she's diabetic. We all have different levels of comfort and skill with LAVH/LSH etc. With utmost respect to Richard and Larry, I don't think that this is a lapscope case, and would you answer that way if it was for your oral boards? Larry, you may not do any open cases anymore, but I think that a small role remains for selected open cases other than oncology ones. If she is having a total hysterectomy/BSO for chronic PID, I can't see leaving her cervix (and, she's diabetic and immunocompromised, and at risk for dysplasia), and I can't see what is at all wrong with an open approach. For me, the tactile sensation and soft, blunt lysis of adhesions for a "pus" case is a safer and better approach. Garry
At Mon, 21 Aug 2006, rmodugno@aol.com wrote:
>
>************************
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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