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Re: How to do a hysterectomy From: Joe (forcep@intercom.net) Wed Dec 19 05:16:28 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rmodugno@aol.com: "Re: active tracing with decell" Previous message: Joe: "Re: active tracing with decell" In reply to: Dr Eberhard W Lisse: "Re: How to do a hysterectomy" Next in thread: art fougner, md: "Re: How to do a hysterectomy" Reply: art fougner, md: "Re: How to do a hysterectomy" Reply: Dr Eberhard W Lisse: "Re: How to do a hysterectomy" TWO sonograms at $300 each! Versus 10 minute no cost look in bladder! PULEEZE! Joe C Dr Eberhard W Lisse wrote: > Routine cystoscopy? PULEEZE! > > The MPS (the predominant Malpractice Carrier in the Commonwealth) > suggests having > a routine post op checkup in place, ie Ultrasound, perhaps on day 5. > Preferably with one > before the operation to compare. That'll show hydronephrosis, and you > have sufficient time > for the Urologist to do her thing. > > Served me well, when one of my patients developed a haematoma on the > right side. We saw it > waited another day when the hydronephrosis had increased, and we took > her to the Operating > Theatre where my colleague stented her easily. > > The results were dramatic, the patient is very happy. The priceless > moment was when she said: > "Is this what you explained to me at the consent?" > > On expected difficult pelvic anatomy, previous bladder surgery and such > like, and/or if I ask the > Urologist to come to the table, I have both urethers stented, after > during one case the Urologist > casually opened the bladder, put in a small feeding tube and only then > could palpate the ureter. > > I do not think there is a place for chromic any more, in particular > since there is rapidly dissolving > vicryl. > > On Dec 19, 2007, at 04:03, Joe wrote: > >> Steve, I humbly suggest that your legal system is a bit different >> than ours. Joe C > > el > Next message: rmodugno@aol.com: "Re: active tracing with decell" Previous message: Joe: "Re: active tracing with decell" In reply to: Dr Eberhard W Lisse: "Re: How to do a hysterectomy" Next in thread: art fougner, md: "Re: How to do a hysterectomy" Reply: art fougner, md: "Re: How to do a hysterectomy" Reply: Dr Eberhard W Lisse: "Re: How to do a hysterectomy"

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