Re: Laparoscopic chicken

From: Richard Chudacoff (rchudacoff@mylinuxisp.com)
Wed Jan 30 17:40:13 2008


But if she is dense as it sounds, once you are able to get your hand in all the adhesions are down. Unfortunately not every one has access to the daVinci, but you are right about the adhesions. The only drawback with the robot is no articulating harmonic scalpel

--
Richard Chudacoff, MD, FACOG

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ND84MD@aol.com Sent: Wednesday, January 30, 2008 4:29 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Laparoscopic chicken

left upper quad entry with a 5 mm direct visualization scope. i find it easier to go under adhesions rather than through them. agree with the attempt at vaginal hyst; at the other extreme, the robot is great for lysis of adhesions near bowel and other vital structures. bowel prep no matter what approach. would rather do a hand assist procedure than abdominal hyst.

Dr Chris Stanley Director Fellowship in Gynecologic Endoscopy and Robotics Halifax Medical Center Daytona Beach, FL





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