Re: Sudden Hysterectomy

From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)
Tue Dec 17 16:53:08 1996


In message <961216085443_1987843639@emout16.mail.aol.com>, DoctorJoe@aol.com writes ><<I performed a Total Abdominal Hysterectomy in this case. Our technique
>for locating the cervix is simple. After the uterines, cardinals, and
>uterosacrals are taken, I make a longitudinal incision in the midline
>anterior lower uterine segment. From this vantage point I can easily
>see where the cervix ends and the vagina begins, and I excise the
>specimen at this point.>>
>
>Good technique. We use it whenever necessary.
>

I still think ( even using this technique ) that a cervix which has been fully ( or near fully ) dilated with lots of oedematous tissues sometimes it's not possible to say where cervix ends and vagina starts until everything has healed.

Same applies with placenta accreta et praevia !

--
Malcolm Griffiths               MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist    Luton & Dunstable Hosp.,UK.
Tel:    01582-497459 (office)
        01525-222849 (home)
Fax:    01582-497424
email:  Malcolm@mgriff22.demon.co.uk

"It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire)





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 05:18:01 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.