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Re: Complex Surgeries On-Line From: Robert J. Carpenter, Jr. MD, JD (zygote@icsi.net) Sun Apr 20 14:12:30 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Complex Surgeries On-Line" Previous message: Dean Huffman .: "Complex Surgeries On-Line" In reply to: Dean Huffman .: "Complex Surgeries On-Line" Next in thread: Joe: "Re: Complex Surgeries On-Line" Reply: Joe: "Re: Complex Surgeries On-Line" The reality I see is that many individuals do not treat tissue kindly, and that is reflected in how they teach (or are examples of surgeons). Since I was trained as an anatomist and then when I finally got to the OR as a surgical student, we were taught good technique. Fight as I may with younger attendings about technique, it does not happen. I'm not sure it will ever return. A lament from the old! Bob From: "Dean Huffman ." <dean@thehuffpeople.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Subject: Complex Surgeries On-Line > Viewing the C-section video, I wanted to reach into the TV screen and show the > surgeon how to do a C-Section, i.e. substandard skills, with finger or Mayo > scissor. Knife dissection gives sharper, cleaner dissection planes [with less > bleeding]. Also, clumsy development of the low transverse uterine incision with > rupure of membranes before delivery of the baby that scattered amniotic fluid > into the peritoneal cavity rather than a clean knife dissection down to intact > bulging membrenes and suction to avoid splash of amniotic fluid, followed by > extending the incision just enough to allow deliver of the fetal head. Also, > only single layer closure of the uterine muscle without replacement of th > ebladder peritoneum, and etc.. Robert J. Carpenter, Jr. MD, JD 6624 Fannin, #2720 Houston, TX 77030 (O) 713-795-4600 (F) 713-795-4422 "Life is difficult" The Road Less Travelled by Scott Peck Next message: Bernard Cristalli: "Re: Complex Surgeries On-Line" Previous message: Dean Huffman .: "Complex Surgeries On-Line" In reply to: Dean Huffman .: "Complex Surgeries On-Line" Next in thread: Joe: "Re: Complex Surgeries On-Line" Reply: Joe: "Re: Complex Surgeries On-Line"

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