Re: How to do a hysterectomy

From: Joanne Bulley, MD (islesannie@gmail.com)
Thu Feb 7 16:30:38 2008


I have often used a finger - this time the sound really worked better!

Nice to have multiple techniques.

Joanne

At Thu, 07 Feb 2008, Bernard Cristalli wrote: >
>A finger works as well.
>B
>
>Joanne Bulley, MD a écrit :
>> Dan - Thanks for this tip~
>>
>> Today I was doing a VH - I was sure I had gotten in posteriorly - but
>> the peritoneal opening wasn't identifiable and it looked like I was
>> dissecting the peritoneum off the uterus. So I went in anteriorly. I
>> think used the uterine sound just as you say (but from anterior to
>> posterior) and it came out the opening I had in the pouch of Douglas.
>> The OR folks were really impressed!
>>
>> I love the tidbits I learn and the sharing of experience on this list!
>>
>> Joanne
>>
>> At Mon, 17 Dec 2007, R. Daniel Braun wrote:
>>
>>> Bending a uterine sound 180 degrees and putting it in posteriorly and up
>>> over the uterus and then pulling it down will frequently put the tip of the
>>> sound in the right spot to enter anteriorly.
>>>
>>> BTW, none of these techniques will work all the time. That is why it is
>>> important to teach them all to our residents. Then they will know how to do
>>> it multiple ways and be able to do good work for their patients.
>>>
>>> Dan
>>>
>> --
>> Joanne Bulley, MD, FACOG
>> Solo gyn
>> Keene, NH USA
>>

--
Joanne Bulley, MD, FACOG
Solo gyn
Keene, NH USA




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