-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: colpocleisis From: Malcolm Griffiths (obsdoc@doctors.org.uk) Mon Jan 17 10:54:06 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: Speroff/DeCherney Long" Previous message: Malcolm Griffiths: "Re: Prolapse In Pregnancy" Next in thread: Paul Prior MD: "Re: colpocleisis" Reply: Paul Prior MD: "Re: colpocleisis" If you have a totally demented patient you can't do anything under local! My recent case was so nutty that she didn't understand that she was in hospital. We got her undressed and into a theatre gown, but she got dressed ready to go home. We walked her to theatre where she had an inhalational induuction of GA, whilst sitting in a chair (ordinary desk type chair), wearing her corsets, underwear several layers of clothes and an overcoat and hat. Her handbag was in her hands on her lap. Once asleep I lifted her onto the "gurney" with the anaesthetic assistant and the nursing staff undressed. The vaginal hysterectomy and anterior repair did take over 15-20 minutes (just) but that was because I let my resident do the surgery under my supervision! -- Malcolm GRIFFITHS, Ob/Gyn E-mail obsdoc@doctors.org.uk Dept of Obs & Gynae +44(0)1582-497533 (Sec) 21, School Lane, Luton & Dunstable Hospital, +44(0)1582-497376 (Fax/me) Eaton Bray, Lewsey Road, +44(0)1525-222849 (Home) DUNSTABLE, LUTON, LU4 0DZ.. +44(0)1525-222643 (Fax) Beds., LU6 2DT.. >----- Original Message ----- From: Braun, R. Daniel <rbraun@iupui.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Monday, January 17, 2000 4:48 PM Subject: Re: colpocleisis > You might do better doing a Manchester-Fothergill procedure. It is a 15-20 > minute procedure and can even be done under local. One just removes a small > strip of vaginla lining anteriorly and another one posteriorly and then sews > the underlying tissue together. Simpler and less surgical risk and > morbidity. > > Dan > > -----Original Message----- > From: garrys@mindspring.com > To: Multiple recipients of list OB-GYN-L > Sent: 1/16/00 11:06 PM > Subject: GYN: colpocleisis > > A fellow gynecologist and friend proposes to do a colpocleisis on an 80 > YO woman with a touch of Alzheimer's or somesuch, and she has a total > procidecia, and a pessary won't stay in. > > We're both in our 40s, but have never seen or done one. Does anyone > have any experience/suggestions? Yes, we know we should find an older > doc whose done them, yada yada. > > Garry > Next message: Malcolm Griffiths: "Re: Speroff/DeCherney Long" Previous message: Malcolm Griffiths: "Re: Prolapse In Pregnancy" Next in thread: Paul Prior MD: "Re: colpocleisis" Reply: Paul Prior MD: "Re: colpocleisis"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:43:28 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.