Re: Incidental Proctotomy

From: Andrew Folley (agfolley@hotmail.com)
Fri May 20 07:27:35 2005


Dan Good job in detetecting and repairning. "Its only a mistake when you do not recognize the injury". I may be oversimplyifyiing but I would think the recovery would not be greatly different form a 4the degree repair. Stool softeners high fiber and lots of water. Puls or minus on antibiotics. If any question of fistula formation Defacogram in 8 to 12 weeks. Andy Toledo

>From: Bernard Cristalli <bcrist@club-internet.fr>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Incidental Proctotomy
>Date: Thu, 19 May 2005 13:39:00 -0500
>
>No fibers.
>B. Cristalli
>General surgery
>
>R. Daniel Braun a écrit :
>
>>When doing a Vag Hyst on a 38 Y/O G4 with 14 week sized fibroids and AUB.
>>The rectum was entered instead of the peritoneum. This was recognized and
>>after obtaining peritoneal entrance, the 2 cm incision was repaired with 2
>>layers. The the posterior peritoneum was sutured to the posterior cuff
>>over the top of that.
>>My question to everybody is: How would you manage this patients diet
>>postop?
>>
>>--
>>R. Daniel Braun
>> Kinky for Governor
>

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