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Re: Gyn: Positive margins on a LEEPFrom: FRANCES WREN (fwren@shaw.ca)Thu Nov 1 23:06:27 2007
----a1e7bbe87371f10546380 Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit why not vag hyst...then you can see and be sure you get all the cervix. frances wren and besides it is usually easy and quick.
>----- Original Message -----
> Because they have not been done at this hospital ever. ----a1e7bbe87371f10546380 Content-Type: text/html; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: quoted-printable <DIV>why not vag hyst...then you can see and be sure you get all the cervix.</DIV> <DIV>frances wren</DIV> <DIV>and besides it is usually easy and quick.<BR><BR>----- Original Message -----<BR>From: islesannie@gmail.com (Joanne Bulley, MD)<BR>Date: Thursday, November 1, 2007 5:53 pm<BR>Subject: Re: Gyn: Positive margins on a LEEP<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net><BR><BR>> Because they have not been done at this hospital ever.<BR>> <BR>> I have been talking with Tim Fisher (new gyn in town) about <BR>> getting that<BR>> added to what we can do here and we are going to get there <BR>> (someday ...)<BR>> <BR>> I could send her to Concord NH for a LH by Dr. Bob Sasso.<BR>> <BR>> At one point I was pretty decent in LS suturing - but only ever <BR>> did it<BR>> in th labs at the training sessions.<BR>> <BR>> Would love to get better at all of that - but there has not been the<BR>> chance to do it and then immediately bring it home and apply it.<BR>> <BR>> Joanne<BR>> <BR>> At Thu, 1 Nov 2007, Larry Glazerman wrote:<BR>> ><BR>> >Joanne:<BR>> ><BR>> >Why not laparoscopic hysterectomy????<BR>> ><BR>> >--<BR>> >� 59;Larry R. Glazerman, MD, FACOG<BR>> >St. Luke's Center for Advanced Gynecologic Care<BR>> >250 Cetronia Road<BR>> >Suite 305<BR>> >Allentown PA 18104<BR>> >484-223-3279<BR>> >484-223-2830 FAX<BR>> >glazerl@slhn.org<BR>> ><BR>> >On Nov 1, 2007, at 8:22 AM, Joanne Bulley, MD wrote:<BR>> ><BR>> >> Hank that is a good idea - but on this particular patient, it <BR>> was a<BR>> >> REAL<BR>> >> B***H to find long skinny retractors to use in the vagina <BR>> (the regular<BR>> >> weighted speculum and Sims retractors were too wide) so that <BR>> I could<BR>> >> reach the cervix to do the LEEP with the long skinny Loop!<BR>> >><BR>> >> So this one gets an Abd Hyst - but for others I will <BR>> definitely keep<BR>> >> your suggestion in mind.<BR>> >><BR>> >> Joanne<BR>> >><BR>> >> At Wed, 31 Oct 2007, Henry Gregor wrote:<BR>> >� 38;gt;><BR>> >>> Joanne,<BR>> >>><BR>> >>> Why not start vaginally, circumscribe the vaginal cervical margin<BR>> >>> you want, advance the bladder a bit, then do a culdotomey <BR>> and then<BR>> >>> go abdominally to avoid fighting the narrow pelvic <BR>> archetecture? (I<BR>> >>> learned this maneuver from Warren Patow, MD former chief at Walter<BR>> >>> Reed MC, a most amazing surgeon and an even greater gentleman.)<BR>> >>><BR>> >>> Hank<BR>> >>><BR>> >>> Tired of spam? Yahoo! Mail has the best spam <BR>> protection around<BR>> >><BR>> >> --<BR>> >> Joanne Bulley, MD, FACOG<BR>> >> Solo gyn<BR>> >> Keene, NH USA<BR>> ><BR>> <BR>> --<BR>> Joanne Bulley, MD, FACOG<BR>> Solo gyn<BR>> Keene, NH USA<BR>> </ DIV> ----a1e7bbe87371f10546380--
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