|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Gyn: Our friends, the uretersFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Feb 28 07:55:43 2006
At Tue, 28 Feb 2006, Joe wrote: > >Garry: In my 40 years of vaginal hysts never palpated a ureter and never >injured one. I think secret is placement of clamps as you describe. Joe C > >Garry E. Siegel, M.D. wrote: >> Dear Gynecologists: >> >> I continue to read about palpation of the ureters at Vaginal >> Hysterectomy, and am a bit stumped at how exactly this is done. I was >> taught to hug the uterus with clamps, and stay medial as one progresses. >> >> Any enlightment on this welcome. >> >> Garry >> >> -- >> Garry E. Siegel, M.D. >> Private Practice >> Roswell, GA >> Equally important to medial placement of the clamps is good disection of the paravaginal/paracervical tissue between the uterus and bladder and uterus and rectum, would anyone feel comfortable doing an abd. hyst. with no good bladder flap(especially in someone with a a few c-sections), well why should a vag. hyst be any different.
--
Take care, John
|
|
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: Fri May 2 04:43:46 2008 |
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.