tag:blogger.com,1999:blog-2760353953251845523.post614451800817332392..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Vaginal NephrectomyJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-2760353953251845523.post-47882264359364194662009-02-06T14:26:00.000-05:002009-02-06T14:26:00.000-05:00Good thoughts. Totally agree, still can't get over...Good thoughts. Totally agree, still can't get over the "ick" factor, myself. I hope this doesn't catch on.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-23389382001271720852009-02-06T10:13:00.000-05:002009-02-06T10:13:00.000-05:00Bianca-If I understand you correctly, the patient ...Bianca-<BR/>If I understand you correctly, the patient in question had some sort of thoracic compliance issue that precluded his ability to tolerate the pneumoperitoneum of laparoscopy. But that's not a justification for NOTES. It's ludicrous. In NOTES, the abdominal cavity is still insufflated and the operation would take longer and be more hazardous to the fake patient in question. The proper solution would likely be a good old open appendectomy.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-44452863867033732292009-02-06T00:04:00.000-05:002009-02-06T00:04:00.000-05:00I felt incredibly up to speed watching tonight's E...I felt incredibly up to speed watching tonight's ER. The crowd here at The Manor referenced your blog after I went "Oh, oh, oh! I know that!" at the first mention of NOTES.[Yes, I was that obnoxious student in elementary school.]<BR/><BR/>It was gratifying to see that the plot provided good justification for the procedure: a man in an iron lung (almost all day; post polio) needed an appendectomy --an abdominal incision would have impinged on his ability to breathe, as he used those muscles to control the process.<BR/><BR/>We were all thrilled not to have to deal with anything grabbed through the vagina. Major ick factor -- I am down with your concerns over bacteria. And whatever! It gives The Retired Educator the willies and Fred just thinks it's gratuitous. Moi, La Bonne et Belle Bianca? I think iatrogenic infection rates don't need any assistance!<BR/><BR/>The gang at Marlinspike Hall, deep, deep in the Tete de Hergé salutes you. Do we need to do any homework for next week's ER episode?Bianca Castafiore?https://www.blogger.com/profile/07088130255223709497noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-87750219359240871542009-02-05T21:51:00.000-05:002009-02-05T21:51:00.000-05:00Scans was not routine. It was a follow up scan for...Scans was not routine. It was a follow up scan for a lady who has already had colon cancer.Victor Lazaronhttps://www.blogger.com/profile/11634100793910465958noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-30862131330150947322009-02-05T18:28:00.000-05:002009-02-05T18:28:00.000-05:00Thread jack! I hope you comment on Ruth B. G's cas...Thread jack! I hope you comment on Ruth B. G's case in your next post. <BR/><BR/>from the nytimes:<BR/>"The surgery followed the discovery of a lesion during an annual check-up in late January at the National Institutes of Health in Bethesda, Md. A CAT scan revealed a small tumor, approximately one centimeter across, in the center of the pancreas, the court’s statement said."<BR/><BR/>in the med school so far they've told us they virtually only find these things when they are obstructing the CBD. <BR/><BR/>routine cat scans on wellness check up for Justices?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-256230050233018352009-02-05T10:22:00.000-05:002009-02-05T10:22:00.000-05:00When I wrote about appendectomies through the mout...When I wrote about appendectomies through the mouth, one commenter (who was a surgeon) stated that "just because something CAN be done doesn't mean that it OUGHT TO be done." <BR/>Think that comment applies to this case.Unknownhttps://www.blogger.com/profile/06561557089676907651noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-13720862477201476662009-02-04T20:55:00.000-05:002009-02-04T20:55:00.000-05:00And remember, the GYNECOLOGISTS have abandoned vag...And remember, the GYNECOLOGISTS have abandoned vaginal access to the abdomen when the laparoscope came out.<BR/><BR/>We had an attending in my residency who still did interval tubal ligations via colpotomy. Note the use of the singular.ER's Momhttps://www.blogger.com/profile/03203520439121823165noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-28613844070211923512009-02-04T20:11:00.000-05:002009-02-04T20:11:00.000-05:00All this is true but if surgeons don't start doing...All this is true but if surgeons don't start doing it, gastroenterologists will be happy to (and will usurp a good amount of surgical business in the process).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-11985248719103516852009-02-04T18:41:00.000-05:002009-02-04T18:41:00.000-05:00AMEN! Trying to justify the cost of this is ridic...AMEN! <BR/><BR/>Trying to justify the cost of this is ridiculous. There is little benefit, IMO. Great cost. Some learning curve, I'm sure. <BR/><BR/>Hopefully someone is listening! That money could sure be put to much better use.Anonymousnoreply@blogger.com