It is "Noble Sproat Heaney". Another interesting fact is that often,
the "Heaney" clamps we use are actually not "Heaney" clamps, but rather
Rogers hysterectomy clamps - designed by who Dan?
--
Lynn D. Montgomery, M.D.
Obstetrics & Gynecology, Maternal-Fetal Medicine
The Birth Center/Rocky Mountain Women's Health
1211 S. Reserve St.
Missoula, Montana, 59801
406-549-0978
fax 406-549-0987
e-mail: apgar10@thebirthcentermt.com
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R.
________________________________
Daniel Braun
Sent: Monday, December 17, 2007 5:32 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: How to do a hysterectomy
Bending a uterine sound 180 degrees and putting it in posteriorly and up
over the uterus and then pulling it down will frequently put the tip of
the sound in the right spot to enter anteriorly.
I also see that they taught you how to spell "Heaney".
Trivia question: What was Dr. Heaney's full name??
BTW, none of these techniques will work all the time. That is why it is
important to teach them all to our residents. Then they will know how to
do it multiple ways and be able to do good work for their patients.
Dan
On Dec 16, 2007 11:00 PM, Garry E. Siegel, M.D. <garrys@mindspring.com>
wrote:
My 2 cents:
I trained at the University of Alabama in the early 80s, with most
faculty from there.
The "main" technique taught was known as the Heaney one:
Enter anteriorly first, then posteriorly, and then use Heaney
retractors, Heaney clamps and do the hyst. Dr. Heaney was from
Chicago, apparently, as one of our attendings (Thanks, Dr. Hatch) asked
that of the residents when they nervously sat it the chair for the first
time.
One attending at the county hospital taught the "New Orleans" technique:
Get in anteriorly, and flip the uterus and start at the fundus and work
down.
By operating with other practicing physicians who trained elsewhere,
I've seen variations on these techniques, and different ways to close
the cuff, support the vagina, etc.
I really never liked the "New Orleans" techniques, FWIW (sorry, Joe).
I still try to get in anteriorly first, but if it doesn't fly, then I go
posteriorly as long as possible and try again.
Occasionally, I put my finger in posteriorly and try to come around the
uterus with my finger to find the anterior entry point (like the
pictures in the texts). THAT is not easy to do.
Garry
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is
BLIND"
Einstein 1941
