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Re: ovarian removal From: Rafael Haciski (haciski@earthlink.net) Thu Feb 7 15:20:07 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: ovarian removal" Previous message: allanho@aol.com: "Re: ovarian removal" Because if he doesn't, he will get splattered in the face with blood as the CO2 percolates out of the incision in the vaginal vault. OTOH, it is certainly easier and safer to make the incision from below if the "coast is clear" above, ie with pelvic and abdominal cavity filled with gas, and vital structures out of the way. Or one could make the incision from above (which is what I would do if I were to utilize that technique). -- Rafael Haciski MD FACOG Anchor Health Centers GYN 800 Goodlette Rd #360 239-643-8780 office 239-571-0292 cell Naples, FL. On Feb 7, 2008, at 12:45 PM, Frances Wren wrote: > why bother reducing the pneumoperitoneum, as it will reduce itself > as soon as you open the cul-de sac. > frances wren >> ----- Original Message ----- > From: Henry Gregor > To: Multiple recipients of list OB-GYN-L > Sent: Wednesday, February 06, 2008 9:08 PM > Subject: Re: ovarian removal > > On occasion I have placed the specimen in the cul de sac, reduced > the pneumoperitoneum, left the camera and accesory port(s) in, then > done a culdotomy indcision to remove the specimen, closed the > incision and check with a view from above. Haven't "lost" a > specimen from the vaginal retirieval, but if it were to migrate, > have felt comfortable a repeat look with the scope would get it > back into play. I'm sure we'll have a bunch of interesting > approaches come up on the list...as Joanne has said, the list is > a great place for info exchange. > > Hank > > Charlie Chambers <cchamber@embarqmail.com> wrote: > Just wanted to poll the list to what strategies others use to > remove ovaries from the abdomen after laparoscopic detachment. I've > been using the endobag lately but it's always a chore to get it out > the incision. End up doing a combination of chopping the ovary up > in the bag and teasing it through the incision. Anyone have any > easier methods? > > ********************************************************************** > ****** > Charlie Chambers > Hood River, OR > cchamber@alumni.rice.edu > > "Almost anything you do will seem insignificant but it is very > important > that you do it....You must be the change you wish to see in the world" > -- Mahatma Ghandi. > ********************************************************************** > ********* > > > Be a better friend, newshound, and know-it-all with Yahoo! Mobile. > Try it now. > > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.5.516 / Virus Database: 269.19.21/1263 - Release Date: > 2/6/2008 8:14 PM Next message: Henry Gregor: "Re: ovarian removal" Previous message: allanho@aol.com: "Re: ovarian removal"

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