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Re: High uterosacral vaginal vault suspensions From: art fougner, md (evsono@pipeline.com) Mon Jun 23 09:17:54 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Gen: Medical Records" Previous message: Charlie Chambers: "Re: =?UTF-8?Q?Most Doctors Arenât Using" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: High uterosacral vaginal vault suspensions" Next in thread: Larry Glazerman: "Re: High uterosacral vaginal vault suspensions" >From the May Journal of Reproductive Medicine - a caveat - Delayed Diagnosis of Ureteral Obstruction and Hydronephrosis Despite Intraoperative Cystoscopy: A Case Report John L. Washington, M.D. In a case of delayed hydronephrosis following anterior repair and a transobturator sling, intraoperative cystoscopy was not helpful. Art At Sat, 21 Jun 2008, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >At Sat, 21 Jun 2008, rchudacoff@mylinuxisp.com wrote: >> >>Grab the US with a Babcock clamp as high as you think necessary (palpate the ureter to make sure you grab the right thing). Come laterally through the vaginal epithelium-US-cardinal ligament complex, throw two times above the Babcock (make sure you don't go through the Babcock clamp) and then come out posterior on the ipsilateral side. Hold with a hemostat. After you close the cuff tie down and watch the cuff elevate. I use O Vicryl but some use Ethibond. I just don't want the permanent suture in the vaginal. I have only pinched the ureters once. Cysto with Indigo Carmine might be a good idea for your first few cases >> >>Richard Chudacoff, MD, FACOG >> -sent from my Treo 650 >> >Now do that vaginally, yes it can be done vaginally, not exactly as >Richard described but the same general idea. > >-- > Take care, John > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: art fougner, md: "Re: Gen: Medical Records" Previous message: Charlie Chambers: "Re: =?UTF-8?Q?Most Doctors Arenât Using" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: High uterosacral vaginal vault suspensions" Next in thread: Larry Glazerman: "Re: High uterosacral vaginal vault suspensions"

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