Re: Gyn:  Our friends, the ureters

From: DoctorJoe@aol.com
Tue Feb 28 13:13:00 2006


In a message dated 2/28/06 8:56:22 AM, johnprov@sympatico.ca writes:

> 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.
>

Conceptually, the hysterectomy (as it has been designed by multiple "old masters") is pretty idiot proof. The clamp-inside-your-previous-clamp tradition makes it so. The only problems usually occur when there is gross distortment of the anatomy by such things as TOAs or endometriosis.

Joe P.





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