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Re: Laparoscopic chicken From: Douglas Krell (dkrell@msn.com) Mon Feb 4 14:21:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Laparoscopic chicken" Previous message: Garry E. Siegel, M.D.: "Re: Insurers Begin To Reimburse for Online Visits, Concerns Remain" Actually Tom Petty did a great job at Superbowl! And I stand corrected on the the Visiport issue. I knew that our hospital ditched the US Surgical/ AutoSuture contract a number of years ago and that we use only Ethicon. Our techs still refer to the bladeless trocar we use as a "Visiport". Actually it is the Ethicon XCEL Trocar with the Bladeless Tip. The Bladed Trocar is the Ethicon XCEL Trocar with the "Dilating Tip" ... euphemistically deceptive. It has a shielded blade. Basically I use the Verres (or an insufflation needle) whenever I use the bladed trocar. I tend not to insufflate prior to using the bladeless trocar. Douglas Krell MD Date: Mon, 4 Feb 2008 12:05:06 -0600From: dr99645@yahoo.comTo: ob-gyn-l@mail.obgyn.netSubject: Re: Laparoscopic chicken I think it must have been half time and I'm not a Tom Petty fan, plus without a wardrobe malfunction, what good is the half time show! Besides, I'm not used to being coherent during the game, the last three years its started at midnight for me. Glen >----- Original Message ----From: "rchudacoff@mylinuxisp.com" <rchudacoff@mylinuxisp.com>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>Sent: Sunday, February 3, 2008 5:17:21 PMSubject: Re: Laparoscopic chickenno super bowl in Alaska Glen?Richard Chudacoff, MD, FACOG -sent from my Treo 650-----Original Message-----From: Glen Elrod <dr99645@yahoo.com>Subj: Re: Laparoscopic chickenDate: Sun Feb 3, 2008 5:12 pmSize: 1KTo: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>I just looked up to make sure I wasn't imagining things and it from this website at J&J it looks like the XCEL comes in bladeless, blunt and dilating tip. Obviously, we are talking about the XCEL bladeless trocar.http://www.jnjgateway.com/home.jhtml?loc=USENG&page=viewContent&contentId 008b9880c605a5&parentId 008b98801b4d2aThe Visiport looks like it belongs to Autosuture, a division of US Surgical according to this website.http://www.autosuture.com/Autosuture/pagebuilder.aspx?topicID1737&breadcrumbs=0:122497,131955:0 >,39752:0Glen----- Original Message ----From: Douglas Krell <dkrell@msn.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>Sent: Saturday, February 2, 2008 2:12:11 PMSubject: RE: Laparoscopic chicken.hmmessage P{margin:0px;padding:0px;}body.hmmessage{FONT-SIZE:10pt;FONT-FAMILY:Tahoma;}Both Excel and Visiport are Ethicon products.The Excel trocars have spring loaded blades.The Visiport trocars have the little plastic wings at the tip, and the scope goesright inside of it so that you watch on monitor as the tip penetrates all the layers.I use the visiport all the time now.I can attest to the fact that if you have a piece of bowel adherent right under the umbilicusThe visiport gives you a nice view of the bowel lumen.I agree with you Garry. It would take a major study powered to show the differencein injury rates. Perhaps you could study laparoscopies done on patients with previousmidline incisions.Right now, I tend to prefer the Visiport, but if the scrub tech opens Excels by mistake, I don't throw 'em all out.I usually open a Verres needle and proceed. Surgery is dangerous business, but if it's done for a--- message truncated --- Never miss a thing. Make Yahoo your homepage. Next message: ainsron: "Re: Laparoscopic chicken" Previous message: Garry E. Siegel, M.D.: "Re: Insurers Begin To Reimburse for Online Visits, Concerns Remain"

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