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Re: Single Layer vs Double Layer Uterine ClosureFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Nov 7 04:23:03 2003
I place allis clamps on each angle. Then I start my suture lateral to one angle and finish up lateral to the other. I tie behind each allis. Dan -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Thursday, November 06, 2003 6:13 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Single Layer vs Double Layer Uterine Closure 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:
>
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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