Re: abdominoplasty

From: Gail Waldby, MD (gwaldby@main.basec.net)
Sun Jun 14 07:46:00 1998


As a US general surgeon, I could probably do an abdominoplasty without requesting specific privileges. However, medical staff privileging has become quite contentious even in small rural hospitals like the one I practice in.

How do you do an abdominal hysterectomy without opening the vagina? Or did you mean you would not do an abdominoplasty if you did an abdominal hysterectomy? Would your opinion change if the patient was thin except for the lower abdomen and wanted an abdominoplasty at time of abdominal hysterectomy? Gail Waldby, MD Huron Clinic SD

Bernard Cristalli wrote:

> > DoctorJoe@aol.com wrote:
> > Does anyone do ABDOMINAL hysts (and BSO, if postmenopause) and offer the
> > patient a modified abdominoplasty to go along with it? If you do the TAHBSO
> > through a Pfannenstiel, it's extremely easy to do a subumbilical
> > abdominoplasty, and remove the redundant skin left over from childbearing
> > (which is NOT amenable to exercise and weight reduction).
> >
> > Joe P.
> --
>
> As a general surgeon it is one of my privilges to do it. I do not when
> the vagina has been opened. The cutaneo-adipous flap detachment is too
> large to take a septic risk.
>
> --
> Bernard Cristalli MD CNGOF
> AIHP - ACCA
> Paris - France
> http://www.obgyn.net/corresp/cristalli.htm





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