--
Richard Chudacoff, MD, FACOG
_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod
Sent: Thursday, January 31, 2008 2:57 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Laparoscopic chicken
What are you using with the daVinci if there isn't a harmonic available?
Glen
>----- Original Message ----
From: Richard Chudacoff <rchudacoff@mylinuxisp.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
Sent: Wednesday, January 30, 2008 3:43:23 PM
Subject: Re: Laparoscopic chicken
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
_____
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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