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Re: office LEEPFrom: Dan Logen (pdl@whidbey.net)Mon Oct 7 22:30:10 1996
>I have been doing all my LEEP's under local (except a few patient's who >request general anesth.) in outpatient surgical or hospital settings. Now >one of the "plans" demands we use a mobile service which they set up in >your office. I have some reservation with regard to the safety of this. >Though I have not personally had any problems, I have heard of some >bleeding problems and patients having sedation related problems. > >What is the feeling of the listers and does ACOG have a position on this? > >Thanks, > >Gordon Since starting LEEPS about 5 years ago, I have done about 110 in my office and about 3 in the hospital OR. Only one problem case in the office; one patient had vigorous bleeding not responding to cautery or monsels solution. Luckily she allowed placement of a single suture at 12:00 which stopped the hemorrhage. I was worried, but the patient was not! In our community, all the gynecologists (9) are performing them in their offices.
-- Dan Logen Stanwood, Wa pdl@whidbey.net
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