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Re: Error Condition Re: Re: Vaginal SterilizationFrom: ainsron (ainsron@sbcglobal.net)Fri Dec 2 10:06:17 2005
Do insurances actually pay for an assistant? Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Scott Oesterling Sent: Thursday, December 01, 2005 9:20 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Error Condition Re: Re: Vaginal Sterilization We do perhaps 50 vaginal sterilizations per year. I prefer it because: 1. the operative time is fast - 10 to 15 minutes per case. No set up time for either a laparoscope or a hysteroscope. 2. The equipment list is simple: weighted spec, two right angle retractors, two right angle clamps, extra long smooth pick ups, extra long babcock, a needle driver, tooth forceps, metz, and mayos 3. The procedure is less painful that a scope tubal. 4. You have pathologic confirmation of the sterilization. Contraindications: History of pelvic pain that would benefit by laparoscopy History of 2 c-sections Obesity unless you can feel a retroverted uterus in the office Lack of a skilled assistant Disadvantages: 4 weeks pelvic rest rather that two. 100 mL EBL vs 25 mL Always use antibiotics. I have had too much bowel fat get in the way with some very fat ladies. For the obese, I prefer the scope. Scott Oesterling San Mateo Ca.
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