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Re: Incidental cystotomy From: art fougner, md (evsono@pipeline.com) Wed Dec 13 09:22:40 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Griffiths Malcolm: "Re: Junk Mail" Previous message: Myer S. Bornstein, MD, CPE, FACOG: "Re: Incidental cystotomy" In reply to: Ira Bachman, MD: "Incidental cystotomy" Next in thread: Carlos Roure MD: "Re: Junk Mail--visit plus" Reply: Carlos Roure MD: "Re: Junk Mail--visit plus" why do we term this "incidental cystotomy?" not wishing to get into the legalese after the Dred-Chad Decision but would the more correct term be "accidental cystotomy?" regarding your question - 1) what do the urologists practicing in your area currently recommend? 2) how comfortable are you potentially confronting chapter and verse of the text you quoted in court? art At Tue, 12 Dec 2000, Ira Bachman, MD wrote: > >During laparoscopy the other night for a 5 cm hemorragic cyst causing >intense pain, I managed to enter the bladder with a 5mm trocar placed >suprapubically. This became apparent when the nurse noted the foley bag >filling like a balloon. A laparotomy was performed due to extensive >pelvic adhesions for management of the cyst. The cystotomy was >identified in the dome, 5mm in size, and repaired in two layers with 3-0 >vicryl. The bladder integrity was then tested with methylene blue >solution. On post op day 1 the urine is noted to be clear. For how >long would you drain the bladder? My initial plan was 48-72 hours. In >"Complications in Gynecologic Surgery" they recommend 7-10 days. As the >laceration was no bigger than that used for a SPT or to perform >teloscopy, I think 7- 10 days is a bit extreme. -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Griffiths Malcolm: "Re: Junk Mail" Previous message: Myer S. Bornstein, MD, CPE, FACOG: "Re: Incidental cystotomy" In reply to: Ira Bachman, MD: "Incidental cystotomy" Next in thread: Carlos Roure MD: "Re: Junk Mail--visit plus" Reply: Carlos Roure MD: "Re: Junk Mail--visit plus"

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