Re: LSH was UAE Option
From: Larry Glazerman (l.glazerman@rcn.com)
Sat Aug 28 08:00:29 2004
Tom has been one of those staunchly against this technique. Craig Sobolewski
and I have discussed it with him, and I still don't agree with him. I
clearly respect his opinion and expertise, but disagree on this one.
--
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
> RModugno@aol.com
> Sent: Friday, August 27, 2004 10:26 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: LSH was UAE Option
>
> In a message dated 8/27/2004 9:59:36 PM Eastern Daylight Time,
> garrys@mindspring.com (Garry E. Siegel, M.D.) writes:
>
> >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
> >
>
> Went to a meeting at our hospital in Atlanta, where a guy from out of town
showed
> a video where he morcellated the uterus "in situ".
>
> Tom Lyons, one of the "gurus" of LSH was in the audience. He was not
pleased
> with this technique. He believed it was a disaster waiting to happen.
>
> Robert Modugno MD MBA FACOG
> Marietta, GA
> http://www.novaobgyn.yourmd.com
