Re: Gyrus/Ligasure
From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Dec 30 06:34:23 2008
Of course, but do all those belong to such a procedure?
B
R. Daniel Braun a écrit :
> 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 <mailto: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
>
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>
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>
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> Date: Mon, 29 Dec 2008 12:03:44 -0600
> From: rmodugno@aol.com <mailto:rmodugno@aol.com>
> To: ob-gyn-l@mail.obgyn.net <mailto:ob-gyn-l@mail.obgyn.net>
> Subject: Re: Gyrus/Ligasure
>
> -----Original Message-----
> From: Dr Eberhard W Lisse <el@lisse.na <mailto:el@lisse.na>>
> To: Multiple recipients of list OB-GYN-L
> <ob-gyn-l@mail.obgyn.net <mailto: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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> --
> 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
