Re: Office Surgery Protocols
From: Joe (forcep@intercom.net)
Sun May 27 10:17:21 2007
Certainly depends on level of surgery. I had a surgicenter in my office
and did over 2000 tubals under anesthesia and was Accredited by AAAHC
and was a surveyor for them. I hope we don't get to point of having to
accredit ourselves for minor procedures. But that ugly possibility will
arise as soon as payors decide we are doing too many. The thin ice is
sedation preop and how far you are willing to take it , ie dentist with
nitrous. ACOG has no guidelines. Many states now do. I did a d&c in my
office in 1976 and was censured by my county medical society. Cheers. Joe C
Andrew Folley wrote:
> Anyone know of any guidelines from ACOG or anyone else on office gyn
> surgery protocols????
> Specifically for essure and novasure, hysteroscopy etc. anyone ever
> heard of having to be accredited for office gyn surgery???
>
>> From: Henry Gregor <henrygregor@yahoo.com>
>> Reply-To: ob-gyn-l@obgyn.net
>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>> Subject: RE: Delivery suggestions
>> Date: Sat, 26 May 2007 21:33:43 -0500
>>
>> I'd rather the lowering by rope, than by whatever alternative might
>> work for repairing a sulcal tear, or labial tear welling up with
>> venous oozing.
>>
>> H
>>
>> Andrew Folley <agfolley@hotmail.com> wrote:
>> Vaginal delivery. What is the question especially in light of 399#???
>> Otherwise you will have to lower one of your residients on a rope into
>> the
>> c-section incision to retrieve the babies.
>>
>> >From: "Lynn Montgomery"
>> >Reply-To: ob-gyn-l@obgyn.net
>> >To: Multiple recipients of list OB-GYN-L
>> >Subject: Delivery suggestions
>> >Date: Wed, 23 May 2007 17:42:48 -0500
>> >
>> >I have a good one for y'all to ponder. 23 y.o. primigravida, currently
>> >at 34 weeks gestational age with twins. Currently weighs 399. EFW at
>> >31 weeks on both twins was 5 pounds. Cephalic/cephalic presentation.
>> >During a visit to L&D for false labor, monitoring was essentially
>> >impossible.
>> >
>> >Route of delivery?
>> >
>> >Lynn
>> >
>> >Lynn D. Montgomery, M.D.
>> >
>> >Obstetrics & Gynecology, Maternal-Fetal Medicine
>> >
>> >The Birth Center/Rocky Mountain Women's Health
>> >
>> >1211 S. Reserve St.
>> >
>> >Missoula, Montana, 59801
>> >
>> >406-549-0978
>> >
>> >fax 406-549-0987
>> >
>> >e-mail: apgar10@thebirthcentermt.com
>> >
>>
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>
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