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Re: colpocleisisFrom: Zach Newton (zbnewton@mindspring.com)Mon Jan 17 17:40:17 2000
Malcolm Griffiths wrote:
> The vaginal hysterectomy and anterior repair did take over 15-20 minutes Malcolm- Your proficiency in operating time has been repeatedly referenced. There is no doubt that your native co-ordination and focused drive result in substantially above average, by miles, super-efficient surgical time with, no doubt (sincere), better than average results. Your braggadocio raises the question of emphasis on time to the neglect of doing the extra steps that best serve long term results. For instance, what proportion of your v.h. pts have uterosacral plication? What is the incontinence rate 5 years out? What is the re-operation rate for post-hysterectomy oophorectomy? What is your rate of tubal prolapse? I expect on critical analysis, you have good numbers all the way around. I am bothered by your benchmark being time rather that long term outcome. When you win at both ends, you are really the champ. Of course, the problem exists for all of us: we never know, because our failures go elsewhere for resolution. I do salute your exceptional operative efficiency. By any measure, you are good.
-- Zach Newton Z. B. Newton, III, M.D. Atlanta/Gyn
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