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Re: Instrument for the Infundibulo-pelvic ligaments From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Tue Feb 6 08:18:57 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: A Vaccine to Save Women’s Lives" Previous message: Kim Elise Goldman: "Re: A Vaccine to Save Women’s Lives" Maybe in reply to: rmodugno@aol.com: "Instrument for the Infundibulo-pelvic ligaments" Next in thread: Rafael Haciski: "Re: Instrument for the Infundibulo-pelvic ligaments" Reply: Rafael Haciski: "Re: Instrument for the Infundibulo-pelvic ligaments" Reply: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Instrument for the Infundibulo-pelvic ligaments" The trick with the ACE is to take all the tension off the vessel, whether this be the IP or the ascending uterine vessels. Hemostasis with the ACE can be affected by grasping the vessel until just before it "clicks", using the minimal energy setting for about 5 seconds (or until you see bubbling) and then removing the harmonic while still active. -- Richard Chudacoff, MD, FACOG Las Vegas International Center for Advanced Gynecologic Care (Specializing in Minimally and Non-Invasive Surgery) 3150 N Tenaya Way # 270 Las Vegas, NV 89128 Tel: (702) 360-9630 Cel: (281) 236-5702 email: richard.chudacoff@obgyn.net rchudacoff@mylinuxisp.com rchudacoff@deployedmedical.com <mailto:rchudacoff@lasvegasgyncenter.com> rchudacoff@lasvegasgyncenter.com _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael Haciski Sent: Tuesday, February 06, 2007 6:14 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Instrument for the Infundibulo-pelvic ligaments 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. Next message: Richard Chudacoff, MD: "Re: A Vaccine to Save Women’s Lives" Previous message: Kim Elise Goldman: "Re: A Vaccine to Save Women’s Lives" Maybe in reply to: rmodugno@aol.com: "Instrument for the Infundibulo-pelvic ligaments" Next in thread: Rafael Haciski: "Re: Instrument for the Infundibulo-pelvic ligaments" Reply: Rafael Haciski: "Re: Instrument for the Infundibulo-pelvic ligaments" Reply: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Instrument for the Infundibulo-pelvic ligaments"

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