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Re: SacrocolpopexyFrom: Steve & Eryl Raymond (eryl@intekom.co.za)Wed Apr 7 13:40:48 2004
It's always been a mystery to me why patients ask me after prolapse surgery when will they be allowed to drive, as if driving had some significant potential ill effect on the pelvic floor. I have just seen the light - narcotics!! Joanne, I can't believe you are using narcotics for 2-3 weeks after surgery. I fact I can't see the need for narcotics at all in these days of NSAIDS and COX2 inhibitors. As for all the restrictions on pushing ("pusing") where is the evidence? If you are suturing with Vicryl the tensile strength remains for up to six weeks, and the maximal time of weakness where scar tissue takes over from suture strength is undefined. Have you ever seen anyone push their prolapse repair apart? If so, at what stage did it happen? I think the occasional case occurs over about two years in my experience. Steve
Joanne Bulley, MD wrote:
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