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Re: Gyn: Positive margins on a LEEP From: Henry Gregor (henrygregor@yahoo.com) Thu Nov 1 13:35:05 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Gyn: Positive margins on a LEEP" Previous message: GIN11153@aol.com: "Hospitals Still Searching for On-Call Pay Solutions" In reply to: Joanne Bulley, MD: "Re: Gyn: Positive margins on a LEEP" Understood...I didn't want to sound firm and dogmatic about the vaginal approach cervix maneuver, as I can appreciate how not every vaginal topography would allow even that...just wanted to mention a trick of the trade Warren showed me. Oh, BTW, you want an assortment of variably sized surgical instruments available for differing surgical conditions???...what are you, one of those malcontent disruptive physicians upsetting the staff with unreasonable demands, you know, the kind of doc who needs sensitivity training and admonishment? (He asks, TIC, ROTFLOL) "Joanne Bulley, MD" <islesannie@gmail.com> wrote: Hank that is a good idea - but on this particular patient, it was a REAL B***H to find long skinny retractors to use in the vagina (the regular weighted speculum and Sims retractors were too wide) so that I could reach the cervix to do the LEEP with the long skinny Loop! So this one gets an Abd Hyst - but for others I will definitely keep your suggestion in mind. Joanne At Wed, 31 Oct 2007, Henry Gregor wrote: > > Joanne, > > Why not start vaginally, circumscribe the vaginal cervical margin you want, advance the bladder a bit, then do a culdotomey and then go abdominally to avoid fighting the narrow pelvic archetecture? (I learned this maneuver from Warren Patow, MD former chief at Walter Reed MC, a most amazing surgeon and an even greater gentleman.) > > Hank > >Tired of spam? Yahoo! Mail has the best spam protection around -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Tired of spam? Yahoo! Mail has the best spam protection around Next message: Joanne Bulley, MD: "Re: Gyn: Positive margins on a LEEP" Previous message: GIN11153@aol.com: "Hospitals Still Searching for On-Call Pay Solutions" In reply to: Joanne Bulley, MD: "Re: Gyn: Positive margins on a LEEP"

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