Re: How to do a hysterectomy

From: Henry Gregor (henrygregor@yahoo.com)
Mon Dec 17 23:22:38 2007


Seeing blue dye expressed from two ureters postop.....priceless....better than warm milk or other things for sleeping later that night.

:-)

Hank

Richard Chudacoff <rchudacoff@mylinuxisp.com> wrote: Not routinely, but I do if needed, especially if using the mesh suspension techniques

Richard Chudacoff, MD, FACOG Las Vegas International Center for Advanced Gynecologic Care (Specializing in minimally and non-invasive surgery) 2481 Professional Court Las Vegas, NV 89128 TEL: 702-485-8893 FAX: 702-974-0945

http://www.lasvegasgyncenter.com

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-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, December 17, 2007 6:18 PM To: Multiple recipients of list OB-GYN-L Subject: Re: How to do a hysterectomy

So, as we're chatting, I recently attended a great ACOG course of prolapse, led by Mark Walters and others who were associated with the Cleveland Clinic. My group also has a new partner who trained there a few years ago, and ACOG just came out with the bulletin that cystoscopy is OK with hysterectomy (to keep the insurance companies and medical staff offices happy if we do them).

So, after learning some new tricks to better support the upper support (level 1), I have begun doing cystoscopy with TVH and LAVH, especially when placing McCall's sutures. I had not done cysto much since residency, and wasn't that comfortable with it, but, as expected, it is not too hard and has many similarities to hysteroscopy.

Are others doing this more, if at all?

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA

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