Re: GYN: Laparoscopy tricks

From: Larry Glazerman (l.glazerman@rcn.com)
Wed Sep 29 17:51:52 2004


Several laps in a glove, or a glove blown up with air works

--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown, PC
larry.glazerman@lvh.com

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Wednesday, September 29, 2004 6:42 PM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: Laparoscopy tricks

In a message dated 9/29/2004 6:12:32 PM Eastern Daylight Time, garrys@mindspring.com writes: 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 Wet laparotomy sponges should do the trick.

You may want to try endoloops used vaginally to remove the adnexa or a Gupta ( affectionately known as the "Bubba" clamp at Northside Hospital) clamp- specially devised for removing the adnexa vaginally.

My 2 cents.

Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com





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