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Re: GYN: Prior abdominoplasty--for LAVH From: Gail Waldby MD (gwaldby@willinet.net) Sun Jan 27 18:35:33 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: malpractice case - conclusion" Previous message: Geffrey Klein, MD: "Re: malpractice case - conclusion" In reply to: Garry Siegel: "GYN: Prior abdominoplasty--for LAVH" Next in thread: Geffrey Klein, MD: "Re: GYN: Prior abdominoplasty--for LAVH" Garry, this should have been a skin and subcu fat operation, so it shouldn't affect your approach to laparoscopy. On the other hand, I always use the open Hasson technique. If you open her, I would worry about where the blood supply to the skin flaps is coming from, so if you can use the old incision, that would be best. Gail Waldby, MD Huron Clinic SD At 07:21 PM 1/27/2002 -0600, you wrote: >I'm going to do an LAVH this week in someone who has had a full >abdominoplasty--large transverse suprapubic scan, and a new umbilicus. > >Let's assume that I can't get the op note, and even if I did, I'm not >sure that it would help. > >Would you avoid a lapscope and just open her based on the prior surgery? > >If you are going to lapscope, would you do open (Hasson) technique? > >Right now, I'm favoring the latter. > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice Next message: art fougner, md: "Re: malpractice case - conclusion" Previous message: Geffrey Klein, MD: "Re: malpractice case - conclusion" In reply to: Garry Siegel: "GYN: Prior abdominoplasty--for LAVH" Next in thread: Geffrey Klein, MD: "Re: GYN: Prior abdominoplasty--for LAVH"

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