--
Richard Chudacoff, MD, FACOG
Las Vegas International Center for Advanced Gynecologic Care
(Specializing in Minimally and Non-Invasive Surgery)
3150 N Tenaya Way # 270
Las Vegas, NV 89128
Tel: (702) 360-9630
Cel: (281) 236-5702
email:
richard.chudacoff@obgyn.net
rchudacoff@mylinuxisp.com
rchudacoff@deployedmedical.com
<mailto:rchudacoff@lasvegasgyncenter.com>
rchudacoff@lasvegasgyncenter.com
_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod,
Darryl G Maj 48 MDOS/SGOBO
Sent: Wednesday, February 07, 2007 6:40 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Instrument for the Infundibulo-pelvic ligaments
Richard,
Is the ACE Harmonic the same as the Harmonic LCS curved shears? I can't
find anything on the Ethicon website about an ACE product, or is this a
different company all together?
Thanks,
Glen
//SIGNED//
D. Glen Elrod, Maj., USAF, MC
Obstetrician/Gynecologist
Chief of Obstetrics
48 MDOS/SGOBO
RAF Lakenheath, England
Telephone DSN: 314-226-8130
Comm: +44 (0) 1638 52 8130
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_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard
Chudacoff, MD
Sent: Tuesday, February 06, 2007 3:21 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Instrument for the Infundibulo-pelvic ligaments
The trick with the ACE is to take all the tension off the vessel, whether
this be the IP or the ascending uterine vessels. Hemostasis with the ACE can
be affected by grasping the vessel until just before it "clicks", using the
minimal energy setting for about 5 seconds (or until you see bubbling) and
then removing the harmonic while still active.
Richard Chudacoff, MD, FACOG
Las Vegas International Center for Advanced Gynecologic Care
(Specializing in Minimally and Non-Invasive Surgery)
3150 N Tenaya Way # 270
Las Vegas, NV 89128
Tel: (702) 360-9630
Cel: (281) 236-5702
email:
richard.chudacoff@obgyn.net
rchudacoff@mylinuxisp.com
rchudacoff@deployedmedical.com
<mailto:rchudacoff@lasvegasgyncenter.com>
rchudacoff@lasvegasgyncenter.com
_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael
Haciski
Sent: Tuesday, February 06, 2007 6:14 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Instrument for the Infundibulo-pelvic ligaments
Over the many years, I have used bipolar cautery, Gyrus, and harmonic
scalpel.
The first two have always resulted in good hemostasis, while the harmonic
scalpel caused a few anxious moments when bleeding occurred and we had to
resort to bipolar to control it. I have seen this in my hands as well as
others, so i am not sure it is an operator related problem (though possible)
Rafael Haciski MD FACOG
Jacksonville Beach, FL.
On Feb 5, 2007, at 10:52 PM, rmodugno@aol.com wrote:
Surveying the cyber-gyns:
Which, in your experience, is the safest instrument to take the
infundibulo-pelvic ligament in laparoscopic hysterectomy?
By safest, I mean the instrument which most consistently takes this pedicle
without having to go back to deal with bleeding.
In my experience it has been the seitzenger-type coagulator/cutter - Gyrus
also manufactures one.
Agree? disagree?
Prefer the harmonic scalpel? Staples? Other?
Thanks in advance.
Robert Modugno MD MBA FACOG
Sylva, NC
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