Re: how to do a hysterectomy

From: art fougner, md (evsono@pipeline.com)
Thu Dec 20 08:42:46 2007


I'm curious about your finding adenomyosis at hysteroscopy ... that sounds interesting in and of itself.

Art

At Wed, 19 Dec 2007, Joanne Bulley, MD wrote: >
>This has been a great discussion (as someone else has said)
>
>I have done various of these parts.
>
>I learned in Ann Arbor to opn the anterior cul de sac first - when I
>moved her to Keene they were mostly doing the posterior first and that
>is what I nearly always do. I have often done the snake the index
>finger behind and over the broad ligament to show the anterior
>peritoneal reflection - but at times the uterus is too big. I like the
>suggestion to bend the uterine sound into a U and use it tin identify
>the anterior reflection.
>
>I have done plenty of morellations for the larger uterus.
>
>I have one coming up for someone who had had 3 or 4 C/S - but when I did
>her hysteroscopy and found adenomyosis - the uterus descended nicely and
>there seemed to be room - so we are going vaginally and some of these
>comments may help this old dog with some new techniques to have in the
>bag.
>
>Joanne
>
>--
>Joanne Bulley, MD, FACOG
>Solo gyn
>Keene, NH USA
>
>More Snow on the Way!
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Jul 2 04:48:21 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.