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Re: How to do a hysterectomyFrom: ainsron (ainsron@sbcglobal.net)Mon Dec 17 08:45:38 2007
I do it the same way, Garry. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Sunday, December 16, 2007 8:01 PM To: Multiple recipients of list OB-GYN-L Subject: Re: How to do a hysterectomy 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
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