Re: Gyrus/Ligasure
From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Dec 30 08:37:19 2008
What are your evidences?
:-)=0
Dr Eberhard W Lisse a écrit :
> 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
>>>>
>>>> ------------------------------------------------------------------------
>>>>
>>>> ------------------------------------------------------------------------
>>>> Listen to 350+ music, sports, & news radio stations – including
>>>> ------------------------------------------------------------------------
>>>> songs for
>>>> the holidays – FREE while you browse. Start Listening Now <
>>>> http://toolbar.aol.com/aolradio/download.html?ncid=emlweusdown00000013>!
>>>>
>>>> ------------------------------------------------------------------------
>>>>
>>>> ------------------------------------------------------------------------
>>>> Send e-mail anywhere. No map, no compass. Get your Hotmail(R)
>>>> ------------------------------------------------------------------------
>>>> account now. <
>>>> http://windowslive.com/oneline/hotmail?ocid=TXT_TAGLM_WL_hotmail_acq_anywhere_122008
>>>>
>>>>>
>>>>
>>>
>>
>> --
>> 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
>
