Re: GYN: Prior abdominoplasty--for LAVH

From: gynendohaiti jean louis (gynendohaiti@hotmail.com)
Mon Jan 28 10:10:08 2002


actually it is a good idea to to the upper left quadrant with a mini scope as mentioned by Dr Latulippe. the european like that entry point to initiate their pneumoperitoneum -and there is no major accident if you are careful.

>From: Paul-André Latulippe <pa.latulippe@sympatico.ca>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com>
>Subject: Re: GYN: Prior abdominoplasty--for LAVH
>Date: Mon, 28 Jan 2002 10:33:13 -0600
>
>You could put your verres needle in the upper left quadran and take a look
>with a minilaparoscope and then you will be able to put your normal
>troccard in the umbillical region.
>
>At 19:20 27/01/2002 -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
>
>friendly
>
>Dr Paul-André Latulippe
>St Christophe d'Arthabaska
>Québec, Canada
>





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