Re: LAVH ureteral injuries

From: David McCoubrey (mccd@glen-net.ca)
Tue May 7 21:25:18 1996


>I'm being the devils advocate here, but I'm going to ask anyway. I have >heard several people say they are uncomfortable with taking the >infundibulopelvics and the rounds from above and the uterine arteries >from below. The worry being that the uterines will tear after the >uterosacral/cardinal complexes are gone. The obvious answer is not to >put so much traction on the cervix, but I wonder if anyone has any other >comments about this?

That is an interesting subject. I have done the last 5 lavh by taking the uterine vessels from below and did not consciously avoid too much traction on the cervix to avoid tearing the uterines. Your comments are well taken, however. Anyone else out there with similar experiences? DMcCoubrey OBGYN Cornwall, Ontario Dr. David R. McCoubrey mccd@glen-net.ca





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Dec 2 05:16:38 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.