Re: Gyrus/Ligasure
From: Dr Eberhard W Lisse (el@lisse.na)
Tue Dec 30 08:00:53 2008
Bernard,
What you are saying, is total nonsense. Never mind unencumbered
by evidence.
el
On 30 Dec 2008, at 13:13 , R. Daniel Braun wrote:
> 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 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
--
Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
PO Box 8421 \ / Please send DNS/NA-NiC related e-mail
Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na
