|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: fistula post TAHFrom: Brian Hackman (brianhackman@easynet.co.uk)Tue May 5 15:29:24 1998
>On 5/4/98, Brian Hackman wrote this: > >Q> I would consider catheterisation before a vaginal hysterectomy >Q> contraindicated. > >Are you saying that, if asked under oath, whether a colleague's routine of >catheterization prior to vag hyst was below standard of care, you would >answer yes? Hmm... I would say that it may be a variation, but certainly >not contraindicated.. Contraindications can be relative or absolute. This one is relative. It is far better not to catheterise as it makes the operation easier and I believe safer. Of course you can do the operation with the bladder empty and indeed that was what I was taught to do many moons ago. Some might argue that it is easier to pop an inflated balloon or that a distended bladder hinders visualization anteriorly... I have always decompressed the bladder and have not had any of the trouble you describe. A bladder with urine in it does not get in the way as it lifts out of the pelvis to become an abdominal organ as it fills up. Try it and you will be converted.
-- Brian Hackman
|
|
Return to
|
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: Mon Nov 2 05:27:51 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.