Re: LSH was UAE Option

From: Rafael Haciski (haciski@earthlink.net)
Tue Aug 31 23:01:27 2004


On Aug 28, 2004, at 10:29, William McIntosh wrote:

> To be honest, the time for
> morcellation for me seems to have more to do with whether I can get the
> "apple peel" thing going on a given day. The ones that take longer
> than
> 5-10 minutes are the ones where I chew it to pieces, and then have to
> go
> retrieve all the little bits. As much as I might like to blame that on
> the machine, I think that has more to do with me.
>

I agree with this, although the difficulty in establishing the correct peel is having an able assistant to feed the uterus/fibroid into the morcellator.

As far as time of surgery goes, that depends on two factors: ... again, an able assistant can speed up the surgery dramatically, while a poor assistant will slow things down interminably; ... a small uterus can indeed be removed quickly; for some reason all of mine in recent history were far from small, and indeed the fibroids were often on one side or the other, blocking good access to the lower aspect of the lateral vasculature, and to the transection. That is where I seem to loose the most time.

--
Rafael C. Haciski MD FACOG
Bradenton  FL




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