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Re: How to do a hysterectomy From: Bernard Cristalli (bcrist@club-internet.fr) Thu Feb 7 22:48:42 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "PREGNANCY / OBSTETRICS News" Previous message: Frances Wren: "Re: How to do a hysterectomy" Another trick is not to open anteriorly and to begin to section the uterus medially. You evenbtually fall in the ant perirtoneum. B Frances Wren a écrit : > good info , because I usually use my finger if I have to enter via the > anterior reflection...but maybe I will keep the idea of using the > sound in some instances where the ut is bigger..or if I am not > suceeding with my finger. > I love all these tips too > frances wren >> ----- Original Message ----- From: "Joanne Bulley, MD" > <islesannie@gmail.com> > To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net> > Sent: Thursday, February 07, 2008 3:31 PM > Subject: Re: How to do a hysterectomy > >> 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 >> >> -- >> No virus found in this incoming message. >> Checked by AVG Free Edition. >> Version: 7.5.516 / Virus Database: 269.19.21/1265 - Release Date: >> 2/7/2008 11:17 AM >> > Next message: GIN11153@aol.com: "PREGNANCY / OBSTETRICS News" Previous message: Frances Wren: "Re: How to do a hysterectomy"

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