Re: Instrument for the Infundibulo-pelvic ligaments

From: Rafael Haciski (haciski@earthlink.net)
Tue Feb 6 07:10:00 2007


Over the many years, I have used bipolar cautery, Gyrus, and harmonic scalpel.

The first two have always resulted in good hemostasis, while the harmonic scalpel caused a few anxious moments when bleeding occurred and we had to resort to bipolar to control it. I have seen this in my hands as well as others, so i am not sure it is an operator related problem (though possible)

--
Rafael Haciski MD FACOG
Jacksonville Beach, FL.

On Feb 5, 2007, at 10:52 PM, rmodugno@aol.com wrote:

> Surveying the cyber-gyns: > > Which, in your experience, is the safest instrument to take the > infundibulo-pelvic ligament in laparoscopic hysterectomy? > By safest, I mean the instrument which most consistently takes this > pedicle without having to go back to deal with bleeding. > In my experience it has been the seitzenger-type coagulator/cutter > - Gyrus also manufactures one. > > Agree? disagree? > Prefer the harmonic scalpel? Staples? Other? > > Thanks in advance. > > Robert Modugno MD MBA FACOG > Sylva, NC > ______________________________________________________________________ > __ > ______________________________________________________________________ > Check out the new AOL. Most comprehensive set of free safety and > security tools, free access to millions of high-quality videos from > across the web, free AOL Mail and more. >





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