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Re: Single Layer vs Double Layer Uterine ClosureFrom: RModugno@aol.comThu Nov 6 16:11:16 2003
In a message dated 11/6/2003 5:17:23 PM Eastern Standard Time, eramirezt@coqui.net writes: At Thu, 6 Nov 2003, Braun, R. Daniel wrote: > >How important is it to close the uterus with a suture that persists? >Anybody gone back 24-48 hours post C/S and seen how loose that suture >is? The uterus begins to involute very rapidly and after 48 hours that >suture isn't holding much but empty space My main concerns are the uterine angles. I place a figure of 8 at the right angle under direct vision. Then start my new suture from the left angle as a figure of 8 - then run across to the other side as a continuous lock in a single layer and tie it to the right angle. Call me crazy :+) Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com
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