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Re: "I can do a vag hyst in 15 min..." From: rbraun@iupui.edu Wed Nov 19 10:21:51 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@iupui.edu: "Re: Ovarian cyst" Previous message: Clifford J. Goodman, Jr., MD: "Re: pushing the cytotec (misoprostil) envelope (was pg for" In reply to: .: "Re: "I can do a vag hyst in 15 min..."" Shouldn't that be "semi-annual"? R. Daniel Braun, MD FACOG On Tue, 18 Nov 1997, . wrote: > Here we go again. The biannual parade of morons. > > P. Francis, MD, FACOG > > -----Original Message----- > From: Marco A. Pelosi, III <marcop@tao.agoron.com> > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Date: Monday, November 17, 1997 13:05 > Subject: "I can do a vag hyst in 15 min..." > > >To those who consider speed a mark of quality for vaginal hysterectomy, > >consider the following observations: > > > >I do roughly 90 percent of my hysts vaginally. > > > >In an easy case (without fixation or enlargement), the uterus is out in > >10-15 minutes and the adnexa are both out in another 5-10 minutes. > > > >It takes me NO LESS than 20 minutes to create lasting support to the > >vaginal apex with culdoplasty and lateral suspension suturing IN THE > >ABSENCE OF PELVIC FLOOR DEFECTS. With prolapse, a good pelvic floor > >repair takes at least an additional 1-2 hours. > > > >I conclude with a high degree of certainty, therefore, that any vag hyst > >done in 15 minutes or less does not remove the adnexa, does not provide > >adequate support to the vaginal cuff and does not address pelvic floor > >defects. > > > Next message: rbraun@iupui.edu: "Re: Ovarian cyst" Previous message: Clifford J. Goodman, Jr., MD: "Re: pushing the cytotec (misoprostil) envelope (was pg for" In reply to: .: "Re: "I can do a vag hyst in 15 min...""

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