Re: cystoscopy after hyst

From: Gail Waldby (gwaldby@willinet.net)
Sun Mar 17 18:10:53 2002


Members, It shouldn't add 10-15 minutes. Have the anesthetist/ Anesthesiologist give the indigo carmine when you are 5-8 minutes from finishing. Have the cysto instruments set up and ready. Then, the only time involved is waiting to see the indigo carmine come out each ureter, which should happen very quickly. Gail Waldby, MD Huron Clinic SD 3/17/2002 6:55:34 PM, ainsron@msn.com wrote:

>10-15 minutes adds a lot of time if you are doing a "snappy vag hys"
>that typically takes 20-25 minutes.
>
>>I scope after every procedure that directly involves the bladder or that
>>jeopardizes the integrity of the ureters. I don't have the entire setup,
>>just the scope and a light source. I don't bill for it since I am mainly
>>doing for my peace of mind. Our OR staff has gotten used to it. It only
>>adds 10-15 minutes.
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of chris
>>stanley
>>Sent: Friday, March 15, 2002 7:41 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: cystoscopy after hyst
>>
>>do you cystoscope any/all pelvic surgery cases or just your "difficult"
>>ones where there is doubt regarding the integrity of the ureters? what
>>about enterocele repair/support procedures involving plication of the
>>uterosacrals? does your hospital require separate crudentials for
>>cystoscopy or include them under the general "endoscopy" heading. do
>>you bill for the scope or just assume it is covered in the global
>>description of the procedure?
>>
>>just curious what the rest of the list is doing. no gyn at our hospital
>>routinely scopes but doing just that has been stressed at the last three
>>CME meetings i have attended. i started scoping routinely last week and
>>it has raised some eyebrows,caused grumbling that it ties up cystoscopy
>>equipment. what do you think? thanks
>>
>>--
>>cj stanley md facog
>>daytona beach, fl
>>
>
>--
>Ronald E. Ainsworth, MD
>





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