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Re: Sudden HysterectomyFrom: 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
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