Re: Gyrus/Ligasure
From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Dec 30 01:29:30 2008
This is quality of care (with a touch of pissing contest)
Would you say a surgeon who performs all of his TVH in more than one
hour is a professionnal?
He's a MD, sure, but not a surgeon.
This is a simple and "designed" procedure which has to be done in less
than one hour in 95% and less than half an hour in 50% of the cases. If
it's not so, the surgeon must quit or reappraise its indications.
Bernard
Andrew Folley a écrit :
> Does anyone else feel that all this talk about how fast we can do a
> surgery is totally unprofessional and inappropriate? agf
>
> ------------------------------------------------------------------------
> Date: Mon, 29 Dec 2008 12:03:44 -0600
> ------------------------------------------------------------------------
> From: rmodugno@aol.com
> ------------------------------------------------------------------------
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: Gyrus/Ligasure
>
> -----Original Message-----
> From: Dr Eberhard W Lisse <el@lisse.na>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Mon, 29 Dec 2008 1:09 am
> Subject: Re: Gyrus/Ligasure
>
> I generally ask my anesthetist to write down incision time and
> last staple/suture in at C/S and TAH. And I agree, I often find
> that my impression about how long it took is usually way off.
>
> 12 minutes for a vaginal hysterectomy, who is he kidding?
> *****************************************************************
>
> One of my first attendings in residency in South Africa was S.
> Joel-Cohen. His book is based on the time and motion studies he did on
> many normal uteri - He took about 20 minutes per hysterectomy.
>
> Is speed always the quality indicator?I'm reminded of the story of the
> young bull and the old bull standing on a hill overlooking a herd of
> heifers. The young bull said:"Let's run down and have us a few!" The
> old bull said: " Let's walk down and do the lot!"
>
> Robert Modugno MD MBA FACOG
> Sylva, NC
>
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