Re: Complex Surgeries On-Line

From: Joe (forcep@intercom.net)
Sun Apr 20 15:30:55 2008


Bob: truer words were never spoken! Joe C

Robert J. Carpenter, Jr. MD, JD wrote: > 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
>





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