High closure, no closure

From: Henry Gregor (henrygregor@yahoo.com)
Tue Apr 12 10:51:13 2005


I have been tempted to close without peritoneal closure. Having been a member of the high closure to reduce enterocele church, though, I've always spent that extra time on clousure. I assume you wouldn't be skipping peritoneal closure for twenty years, if subsequent enterocele were a problem. Other than usual ligament-vaginal angle support efforts, anything else that you do? (Speaking here of VH alone, withour anterior/posterior reconstruction or vault suspension.)

Thanks, Hank Efrain Ramirez <eramirezt@coqui.net> wrote: Same here..

Ef

>At Sun, 10 Apr 2005, R. Daniel Braun wrote:
>
>I have had 2 prolapsed tubes after VH. They were both long ago during
>the time that I did colose the peritoneum. I have had none since I
>quit closing it about 20 years ago.
>Dan
>
>On Apr 10, 2005 2:30 PM, Joanne Bulley, MD wrote:
>> Sorry -- I had my 50yo colo (all clear) and didn't answer all posts!
>>
>> It is tender - but I have had most folks with the granulation tissue be
>> tender.
>>
>> With vag hysts I have always closed the peritoneum as high as possible
>> .. and the tube is on the other side of that .. so I don't think
>> (hope) that it is not the tube. I know many don't - but I do - going as
>> high as possible on the posterior side to (hopefully) decrease
>> enterocele formation. But next step for me would be to go to the OR and
>> take it off that way if this cryo does not get rid of it. Then I will
>> find out if it was tube or not.
>>
>> Keep ya posted.
>>
>> Joanne
>>
>> At Sun, 10 Apr 2005, R. Daniel Braun wrote:
>> >
>> >You didn't tell us, Is it tender or not?
>> >Dan
>> >
>>
>> --
>> Joanne Bulley, MD
>> Keene, NH, USA
>>
>--
>R. Daniel Braun
> Kinky for Governor
>

--
I think I will do nothing for a long time but listen,
And accrue what I hear into myself...and let sounds
contribute toward me.

~walt whitman~

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