Re: Gyrus/Ligasure
From: R. Daniel Braun (rd.braun@gmail.com)
Tue Dec 30 04:10:32 2008
Or perhaps change the time frames if 80% of his cases are on 20 week size or
greater uteri.
Dan
On Tue, Dec 30, 2008 at 3:30 AM, Bernard Cristalli
<bcrist@club-internet.fr>wrote:
> 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 m=
any
>> 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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>
--
--
R. Daniel Braun, MD FACOG(L) ABMP CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
