-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: LSH was UAE Option From: Larry Glazerman (l.glazerman@rcn.com) Sat Aug 28 07:59:32 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: LSH was UAE Option" Previous message: Anna Meenan, MD: "Re: UAE Option" In reply to: Garry E. Siegel, M.D.: "Re: LSH was UAE Option" Our sequence is just as you describe. You can pretty much tell when the blood supply is adequately controlled by blanching and/or cyanosis of the fundus. There is sometimes some bleeding from the stump, which is usually easily controlled. Craig Sobolewski who is now at Duke, and I, presented this technique a while back at AAGL. Some (including Tom Lyons) continue to believe it's dangerous, but we feel strongly that in appropriate hands, it's no more dangerous, and possibly safer, than trying to amputate the large fundus. -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC 610-402-0161 l.glazerman@rcn.com > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. > Siegel, M.D. > Sent: Friday, August 27, 2004 10:00 PM > To: Multiple recipients of list OB-GYN-L > Subject: Re: LSH was UAE Option > > Larry: > > Agree that the morcellation takes a good while if the uterus is big. > > What is your sequence of events, i.e. > > 1. Secure the infudibulo-pelvis or utero-ovarians and rounds. > 2. Disconnect from the fundus. > 3. Create a bladder flap. > 4. Secure the uterines. > 5. Morcellate in-situ. > > Morcellation while attached (I've never done it) sounds like it might be > easier, as the uterus is held still by its attachment to the cervix. > > On the other hand, it seems like it might bleed more, as normally I > amputate, put the specimen aside in the abdomen, and acheive hemostasis > on the stump and THEN morcellate. > > What do you do? > > Do others leave the uterus attached? > > Garry > > PS--agree with William that someone with good lapscope skills can do > these with a bit of coaching. That is how I learned, so I guess my > comment is a bit self-serving. > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: Larry Glazerman: "Re: LSH was UAE Option" Previous message: Anna Meenan, MD: "Re: UAE Option" In reply to: Garry E. Siegel, M.D.: "Re: LSH was UAE Option"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Sun Nov 2 04:49:27 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.