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Re: Laparoscopic chicken From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Wed Jan 30 18:13:15 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: BSO without hysterectomy" Previous message: Richard Chudacoff: "Re: Laparoscopic chicken" In reply to: Bernard Cristalli: "Re: Laparoscopic chicken" Next in thread: R. Daniel Braun: "Re: Laparoscopic chicken" Furthermore the examination reported a normal size mobile uterus! Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Bernard Cristalli Sent: Thursday, 31 January 2008 8:04 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Laparoscopic chicken Perhaps, but why not have a try. It's often surprinsingly easy to do it vaginally in those circumstances, even with true "anterior ventrosuspensions". If it doesn't work you convert. What's the risk? To succeed... Bernard art fougner, md a écrit : > Bernard > > Would you not be intimidated by the distinct possibility/probability > that after 5 Sections and an exam suggesting the uterus pulled up and > anteriorly that the degree of adhesion would be equal to or more than a > patient who had a uterine suspension? > > Art > > At Wed, 30 Jan 2008, Bernard Cristalli wrote: > >> Why not a plain vaginal one? >> B >> >> rmodugno@aol.com a écrit : >> >>> 39 year old with 5 previous c/s. Had a bladder entry with repair >>> during one of them. One year ago had laparoscopic right oophorectomy >>> and adhesiolysis. Op report - "extensive adhesions" >>> >>> Complains of menemetrorhagia, deep dyspareunia and worsening dysmenorrhea. >>> >>> Pelvic exam: normal size mobile anteverted uterus - tender.Reproduces >>> pain with coitus. >>> >>> Ultrasound: normal uterus and 2cm simple left ovarian cyst. >>> >>> Patient considering hysterectomy. (See subject line above). I would do >>> a scalpel-guided total abdominal hysterectomy with left >>> salpingo-oophorectomy. Would any of the brave ( Glazerman? >>> Chudacoff?) consider a laparoscopic approach. >>> >>> Any thoughts? >>> Robert Modugno MD MBA FACOG >>> Sylva, NC >>> > > -- > art fougner, md > "May The Wings of Liberty Never Lose a Feather." - Jack Burton > CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Efrain Ramirez: "Re: BSO without hysterectomy" Previous message: Richard Chudacoff: "Re: Laparoscopic chicken" In reply to: Bernard Cristalli: "Re: Laparoscopic chicken" Next in thread: R. Daniel Braun: "Re: Laparoscopic chicken"

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