Re: Ligating without clamping first vag hyst pedicles

From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Apr 24 15:23:13 1998


Yes you tie the knot. LOL It is a very convenient and quick technique. Dissecting and ligating are made at the same time. Rather than placing a forceps then a difficult stitch.

--
Gail Waldby MD wrote:
>
> So you don't stick tie (suture ligate) them?
> Gail Waldby, MD
> Huron Clinic SD
>
> Bernard Cristalli wrote:
>
> > Gail Waldby, MD wrote:
> > >
> > > Please explain how you ligate the cardinal and uterosacral ligaments and
> > > ascending uterine vessels without first clamping them during vaginal
> > > hysterectomy.  I keep thinking this is a good idea and keep vowing to
> > > try it, but when the time comes during a vaginal hysterectomy, the
> > > pedicles never look right to me for this approach.  How do you ligate
> > > them securely before you divide them?
> > > Gail Waldby, MD
> > > Huron Clinic SD
> > --
> >
> > just pass the thread with a dissector.
> >
> > --
> > Bernard Cristalli MD CNGOF
> > AIHP - ACCA
> > Paris - France
> > http://www.obgyn.net/corresp/cristalli.htm

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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