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Re: Single Layer vs Double Layer Uterine Closure From: DoctorJoe@aol.com Sun Nov 9 20:48:44 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" In a message dated 11/9/03 16:49:17, bcrist@club-internet.fr writes: > skin: bistouri > Horizontal incision to the fascia, open it horizontally on 1 inch in the > middle > I use a surgical towel to push the fat laterally (1/2 a second each). > the fascia is teared open with two fingers > > the midline is opened with 2 fingers pulled apart cranially and caudally. > 1 scissors cut on the peritoneum and it's opened with 2 fingers > > no opening of the visceral peritoneum > the uterus is opened like the fascia > > the kid is taken out, and so the placenta > > the uterus is exteriorised > > On layer closure with a continuous suture of #1 Vicryl® > I put a figure of 8 on my side and begin the suture on the other side > (figure of 8) to end on the first knot on my side > > no closure of the peritoneum > > closure of the fascia with a 2/0 Vicryl in the same way as the uterus (no > fig of 8 knots). > > staples for the skin > Wow! With some minor variations (including closing the parietal peritoneum and Scarpa's), I have done the same thing for years. It's nice to be up on new things (or old International things) without realizing it. Joe P. Next message: Efrain Ramirez: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure"

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