Re: Surgical decision
From: Andrew Folley (agfolley@hotmail.com)
Tue Oct 17 11:58:10 2006
My patients are going back to work the same day of surgery. I am hoping
that I will soon be able to do their surgery while thay are at work, maybe
on theri lunch hour. agf
>From: "Richard Chudaoff" <rchudacoff@mylinuxisp.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Surgical decision
>Date: Mon, 16 Oct 2006 14:53:47 -0500
>
>Actually, Dan, my patients return to work or normal activities of daily
>living at a minimum of one, if not three weeks sooner than a simple vaginal
>hysterectomy. They also return to sexual relations 5-6 weeks sooner. I love
>doing vaginal hysterectomies, but my patients so much prefer LSHs.
>
>Now, I will agree, that 95% if all gynecologist can barely do a credible
>TAH, much less any other more involved surgery. Uh oh, let the flames
>begin.
>
>Richard Chudacoff, MD, FACOG
>
> _____
>
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel
>Braun
>Sent: Monday, October 16, 2006 2:46 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Surgical decision
>
>So why not even less invasive??????
>
>Do it Vaginally!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
>
>The only indication for a laparoscopic hyst is if the surgeon can't do it
>vaginally. 95% of the time, that is because the surgeon doesn't know how
>to
>do it that way or is too lazy to work that hard. IMHO
>
>Dan
>
>On 10/16/06, Rafael Haciski <haciski@earthlink.net> wrote:
>
>Ditto, it is really easy, and no hospital visits!
>Can't recall the last hyst I did through and abdominal incision, all
>go laparoscopically, occasionally vaginally.
>
>This applies especially to ovaries as they are really easy to remove
>(usually).
>
>Rafael Haciski MD FACOG
>Palmetto, FL
>
>On Oct 16, 2006, at 11:22 AM, Richard Chudaoff wrote:
>
> > WHY? Do a laparoscopic salpingo-oophorectomy. It was benign!!! If
> > you really
> > feel the need to perform a bilateral oophorectomy, do it
> > laparoscopically.
> > Why take the uterus? If you really, really feel the need to remove the
> > uterus, take it laparoscopically too. What is it with these huge
> > incisions
> > when the general surgeons do it all with minimally invasive
> > techniques.
> >
> > GYNECOLOGY NEEDS TO BE A MINIMALLY INVASIVE SURGICAL PROFESSION.
> >
> > Richard Chudacoff, MD, FACOG
>
>--
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage
>everyday".
> Hippocrates
>
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