|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
GYN: Laparoscopy tricksFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Sep 29 17:12:07 2004
I am doing a TVH, A and P repair, sacrospinous ligament fixation and concomitant urinary sling on a 58 YO who wishes BSO. I fully expect to do this vaginally, but, as we know, not every ovary can come out vaginally. She absolutely wants the ovaries out. Of course, I could start with a laparoscope and disconnect the ovaries, and then go below. However, I would prefer to go vaginally, and, if necessary, put a scope in at the end to disconnect the ovaries and then remove them vaginally. In order to keep a pneumoperitoneum, I could close the cuff, and open it to get the ovaries out after the scope. However, I've heard blurbs about putting a couple of laps in a plastic bag, etc., to "seal" the vagina. Anyone have practical advice on how to do this with readily available stuff? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
|
|
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: Mon Nov 2 04:55:52 2009 |
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.