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Re: Gyrus/LigasureFrom: vnellsch (vnellsch@eastex.net)Tue Dec 30 17:02:18 2008
i have done many thousands of vaginal hysterectomies. some of them took 2 hours to do, because of adhesions, or size, or bleeding, or something. to ask if i am a professional because i am deliberate when doing a difficult case is nonsensical. it takes the time that it takes. i rejoice in an easy 20 minute vaginal hysterectomy, but i don't hang my head when a difficult case takes two hours. verner nellsch, md.
> ----- Original Message ----- 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 ------------------------------------------------------------------------ Listen to 350+ music, sports, & news radio stations =96 ------------------------------------------------------------------------ including songs for the holidays =96 FREE while you browse. ------------------------------------------------------------------------ Start Listening Now <http://toolbar.aol.com/aolradio/download.html?ncid=emlweusdown00000013>! ------------------------------------------------------------------------ Send e-mail anywhere. No map, no compass. Get your = ------------------------------------------------------------------------ Hotmail=AE ------------------------------------------------------------------------ account now. <http://windowslive.com/oneline/hotmail?ocid=TXT_TAGLM_WL_hotmail_acq_anywhere_122008> -- 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
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