Re: Gyrus/Ligasure

From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au)
Mon Dec 29 15:20:49 2008


The discussion started not as a boast about how fast one can do the surgery, but as a comparison of the Ligasure with suturing and whether it saved time.

Steve Raymond Ph (03)62227898 Cell 0438372395

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew

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Folley
Sent: Tuesday, 30 December 2008 5:32 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Gyrus/Ligasure

Does anyone else feel that all this talk about how fast we can do a surgery is totally unprofessional and inappropriate? agf

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Date: Mon, 29 Dec 2008 12:03:44 -0600 ________________________________ From: rmodugno@aol.com To: ob-gyn-l@mail.obgyn.net Subject: Re: Gyrus/Ligasure

-----Original Message----- From: Dr Eberhard W Lisse <el@lisse.na> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Mon, 29 Dec 2008 1:09 am Subject: Re: Gyrus/Ligasure

I generally ask my anesthetist to write down incision time and last staple/suture in at C/S and TAH. And I agree, I often find that my impression about how long it took is usually way off.

12 minutes for a vaginal hysterectomy, who is he kidding? *****************************************************************

=20

One of my first attendings in residency in South Africa was S. Joel-Cohen. His book is based on the time and motion studies he did on many normal uteri - He took about 20 minutes per hysterectomy.

Is speed always the quality indicator?I'm reminded of the story of the young bull and the old bull standing on a hill overlooking a herd of heifers. The young bull said:"Let's run down and have us a few!" The old bull said: " Let's walk down and do the lot!"

Robert Modugno MD MBA FACOG

Sylva, NC

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