Re: Complex Surgeries On-Line

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Apr 20 14:16:29 2008


Scissors, suction of the fluid, peritonization and double layer closure ? Are you seriously doing all that? Thats was centuries ago. What are your datas it's better? Bernard General and gyn. surgery

Dean Huffman . a écrit : > .
>
> I received the following note from a friend. Very interesting. You should visit
>
> http://www.or-live.com
>
> ----
>
> You can now watch surgery online at http://www.or-live.com/ if you register as
> a professional.
>
> 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..
>
> My favorites: Dissection of a difficult meningioma that was compressing the
> optic nerve thru a transorbital incision and total hip replacement performed at
> an Oconomowoc, Wisconsin, hospital. milo
>





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