Re: Hasson versus Veress insufflation.

From: Anthony Evans (ahcevans@execpc.com)
Sat Dec 26 13:05:31 1998


On Fri, 25 Dec 1998 08:50:50 -0600, "Braun, R. Daniel" <rbraun@iupui.edu> wrote:

>"Itinerant Surgery"
>Dan
>

Agreed. In this country, it is proscribed by both the American College of Surgeons and the Society of Gynecologic Oncologists. I'm not sure if ACOG has a statement on it or not...if it does, I'm sure it is not favorable.

Perhaps access to care in other countries makes this the "standard of care." Based on my experience, it is hard to believe this is the best model of patient care. Admittedly, it is difficult to criticize the practice when it may represent the only means for women to have the surgery and I have not seen the outcomes or examined the issues through first-hand experience. I profess my ignorance of the intricacies of health care provision in India. In the U.S., neither distance nor time of travel is justification for itinerant surgery.

Craig Evans, M.D., Ph.D. Vince Lombardi Cancer Clinic Milwaukee, WI





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