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Re: Surgical decision From: Richard Chudaoff (rchudacoff@mylinuxisp.com) Mon Oct 16 14:52:44 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rafael Haciski: "Re: Surgical decision" Previous message: R. Daniel Braun: "Re: Surgical decision" In reply to: R. Daniel Braun: "Re: Surgical decision" Next in thread: Andrew Folley: "Re: Surgical decision" Reply: Andrew Folley: "Re: Surgical decision" Actually, Dan, my patients return to work or normal activities of daily living at a minimum of one, if not three weeks sooner than a simple vaginal hysterectomy. They also return to sexual relations 5-6 weeks sooner. I love doing vaginal hysterectomies, but my patients so much prefer LSHs. Now, I will agree, that 95% if all gynecologist can barely do a credible TAH, much less any other more involved surgery. Uh oh, let the flames begin. Richard Chudacoff, MD, FACOG _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Monday, October 16, 2006 2:46 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Surgical decision So why not even less invasive?????? Do it Vaginally!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! The only indication for a laparoscopic hyst is if the surgeon can't do it vaginally. 95% of the time, that is because the surgeon doesn't know how to do it that way or is too lazy to work that hard. IMHO Dan On 10/16/06, Rafael Haciski <haciski@earthlink.net> wrote: Ditto, it is really easy, and no hospital visits! Can't recall the last hyst I did through and abdominal incision, all go laparoscopically, occasionally vaginally. This applies especially to ovaries as they are really easy to remove (usually). Rafael Haciski MD FACOG Palmetto, FL On Oct 16, 2006, at 11:22 AM, Richard Chudaoff wrote: > WHY? Do a laparoscopic salpingo-oophorectomy. It was benign!!! If > you really > feel the need to perform a bilateral oophorectomy, do it > laparoscopically. > Why take the uterus? If you really, really feel the need to remove the > uterus, take it laparoscopically too. What is it with these huge > incisions > when the general surgeons do it all with minimally invasive > techniques. > > GYNECOLOGY NEEDS TO BE A MINIMALLY INVASIVE SURGICAL PROFESSION. > > Richard Chudacoff, MD, FACOG -- R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday". Hippocrates Next message: Rafael Haciski: "Re: Surgical decision" Previous message: R. Daniel Braun: "Re: Surgical decision" In reply to: R. Daniel Braun: "Re: Surgical decision" Next in thread: Andrew Folley: "Re: Surgical decision" Reply: Andrew Folley: "Re: Surgical decision"

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