Re: LAVHs

From: Bernard Cristalli (bcrist@club-internet.fr)
Mon May 4 01:03:37 1998


Myer S. Bornstein wrote: >
> 1) When you do an LAVH, do you "revisit" the abdomen laparoscopically
> after performing the vaginal portion?
>
> I always revisit the abdomen after a LAVH. to check the pedicles and make
> sure there is not any major bleeding. I always look at the operative site
> with the pressure in abdomen between 6-8 mmHg.
>
> 2) What do you think are the common indications and contra-indications
> to LAVH?
>
--

1) LAVH are very rare in my practice When I perform one, i leave the trocar in while doing the vaginal time to be able to check afterwards 2) indications: suspicions of adhesions or endometriosis that could impede a VH.

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




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