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Re: GYN: Prior abdominoplasty--for LAVH From: Geffrey Klein, MD (gklein@icsi.net) Sun Jan 27 18:39:05 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: malpractice case (long) - facts" Previous message: art fougner, md: "Re: malpractice case - conclusion" In reply to: Garry Siegel: "GYN: Prior abdominoplasty--for LAVH" Next in thread: Joanne Bulley, MD: "Re: GYN: Prior abdominoplasty--for LAVH" Reply: Joanne Bulley, MD: "Re: GYN: Prior abdominoplasty--for LAVH" At 7:21 PM -0600 on 1/27/02, Garry Siegel 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. Never been in this situation, but my first inclination would be to go back in time and do an abdominal hyst while she was getting the abdominoplasty. If for some reason you cannot do this, then finding out if her peritoneal cavity was entered might help you decide to do the umbilical port open. (I do all of them this way but that is a different thread altogether) I would at least have a look with the scope, because you can always convert to laparotomy, but you cannot convert to laparoscopy.. -- _______________________ Geffrey H. Klein, MD _______________________ geffrey.klein@obgyn.net 450 Blossom Suite C Webster, Texas 77598 832 553 5430 http://www.geffreyklein.com Next message: DoctorJoe@aol.com: "Re: malpractice case (long) - facts" Previous message: art fougner, md: "Re: malpractice case - conclusion" In reply to: Garry Siegel: "GYN: Prior abdominoplasty--for LAVH" Next in thread: Joanne Bulley, MD: "Re: GYN: Prior abdominoplasty--for LAVH" Reply: Joanne Bulley, MD: "Re: GYN: Prior abdominoplasty--for LAVH"

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