Re: Gyrus/Ligasure
From: R. Daniel Braun (rd.braun@gmail.com)
Tue Dec 30 07:43:10 2008
A lot of them do. How many will depend on the skill and training of the
surgeon.
Dan
On Tue, Dec 30, 2008 at 8:34 AM, Bernard Cristalli
<bcrist@club-internet.fr>wrote:
> Of course, but do all those belong to such a procedure?
> B
>
> R. Daniel Braun a écrit :
>
>> Or perhaps change the time frames if 80% of his cases are on 20 week size
>> or greater uteri.
>>
>> Dan
>>
>> On Tue, Dec 30, 2008 at 3:30 AM, Bernard Cristalli <
>> bcrist@club-internet.fr <mailto:bcrist@club-internet.fr>> wrote:
>>
>> This is quality of care (with a touch of pissing contest)
>> Would you say a surgeon who performs all of his TVH in more than
>> one hour is a professionnal?
>> He's a MD, sure, but not a surgeon.
>> This is a simple and "designed" procedure which has to be done in
>> less than one hour in 95% and less than half an hour in 50% of the
>> cases. If it's not so, the surgeon must quit or reappraise its
>> indications.
>> Bernard
>>
>> Andrew Folley a écrit :
>>
>> Does anyone else feel that all this talk about how fast we can
>> do a surgery is totally unprofessional and inappropriate? agf
>>
>> ------------------------------------------------------------------------
>> ----------------------------------------------------------------------->>
>> ----------------------------------------------------------------------->>
>> Date: Mon, 29 Dec 2008 12:03:44 -0600
>> From: rmodugno@aol.com <mailto:rmodugno@aol.com>
>> To: ob-gyn-l@mail.obgyn.net <mailto:ob-gyn-l@mail.obgyn.net>
>> Subject: Re: Gyrus/Ligasure
>>
>> -----Original Message-----
>> From: Dr Eberhard W Lisse <el@lisse.na <mailto:el@lisse.na>>
>> To: Multiple recipients of list OB-GYN-L
>> <ob-gyn-l@mail.obgyn.net <mailto: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?
>> *****************************************************************
>> 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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>>
>> --
>> R. Daniel Braun, MD FACOG(L) ABMP CMTh
>> Professor Emeritus
>> Dept. of Obstetrics and Gynecology
>> Indiana U. School of Medicine
>>
>> R. Daniel Braun
>>
>> "Science without Religion is LAME; Religion without Science is BLIND"
>> Einstein 1941
>>
>
--
R. Daniel Braun, MD FACOG(L) ABMP CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
--
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
