Re: Catgut

From: Dr Eberhard W Lisse (el@lisse.NA)
Mon Aug 8 03:43:51 2005


Sam,

> "Atkinson, Samuel M" <ATKINSONS@mail.ecu.edu> wrote:

> I suspect our other subscriber who entered the bladder -when she looks up
> the previous OP note-will find that the peritoneum was not closed-thus
> the bladder was adherent to the ant abdominal wall and no way could one
> avoid a bladder entry.

Why would the bladder adhere to the anterior wall as a necessity, something which I see often on close peritoneum by the way, and why would that mandate a bladder entry?

I am opening the abdomen bluntly these days which shoudl avoid bladderinjury.

> By using a monofilament, poly gycolic fine suture and not pulling the
> peritoneum up tight into a water tight seal, as many of us were taught in
> the dark ages, there will be significantly less adhesions than if one
> leaves the peritoneum open.

Can ou please provide us wuth some evidence for this allegation?

el





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