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Re: Single Layer vs Double Layer Uterine ClosureFrom: DoctorJoe@aol.comMon Nov 10 09:19:59 2003
In a message dated 11/10/03 10:15:32, rbraun@iupui.edu writes:
> That's because you leave them in longer than 48 hours. My routine for staples was to take them out on the 3rd day, sometimes the 2nd, and steri-strip the wound. This keeps the patient from having the little poke holes from leaving them in too long, as well as any "railroad track" effect from the staple laying across the wound. I've generally seen staples cause less wound reactivity than subcuticular sutures, plus they're easy to open if the wound breaks down (i.e. they don't tend to form a seroma or abscess), and they actually approximate the wound better (even though this is a VERY fine point) since they pull straight across, not snake-wise along the wound. Anyway, it's not MAJOR enough of a difference to really fight about. So obviously either type of closure satisfies standard of care. But it's always nice to hear discussion.... Joe P.
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