-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Ob: staples at C/S From: =?UTF-8?Q?Bülent_Potur?= (bpotur@gmail.com) Sat Jul 29 12:34:51 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Ob:  staples at C/S" Previous message: Kim E. Goldman: "Re: Ob:  staples at C/S" In reply to: Garry E. Siegel, M.D.: "Ob: staples at C/S" Next in thread: RModugno@aol.com: "Re: Ob: staples at C/S" For ten years I used vertical mattress<http://www.aafp.org/afp/20021215/2231.html>sutures. Although they looked ugly the resultant scar was very aesthetic. Then some new colleagues came. One of them even told patients that he would close the skin with laser. This was actually a subcuticular prolene or chromic continuous stitch . Then patients demanded this gluing closure. So it is my standard closure for 5 years in accordance with my equal human rights concept. For two months I do not do the stitching of the skin myself. The nurses do it. I am impressed with the natural concept. On this topic here is an example. I read the detailed description of Misgav Ladach Cesarean technique at obgyn.net <http://forums.obgyn.net/ob-gyn-l/OBGYNL.9902/0697.html> and at gynelist. <http://pro.gyneweb.fr/Sources/obstetrique/techm-l.htm> In this third millennium the great majority of my C/Sections have been with Joel Cohen incisions and Misgav Ladach Technique. I heard 3 years ago from Professor Dr. Israel Meizner that the Misgav Ladach Hospital was bankrupt and closed. The operation did not do me any good either. Although now they are accustomed in the beginning the nurses would talk behind me that I tear the patient. I think the important thing is not the way you stitch the skin. For example when I was a student aesthetic surgeons would approximate the skin of the nose with very fine interrupted silk sutures. So the important thing is to use the material with care and delicacy. And even more important the care and courtesy that you have with your patients and your fellow workers. Regards, Bulent Potur MD Obgyn Kirikkale, TURKEY 2006/7/29, Garry E. Siegel, M.D. <garrys@mindspring.com>: > > Dear all: > > Over the last 3 years since being in a collaborative practice, many of > our CNM patients who seem to be a bit more "natural" (maybe many of them > have taken Bradley classes) are insistent to a fault about having > subcuticular sutures, not staples, for their unplanned C/S closure. > Honestly, it is almost as predictable as the sun rising in the east! > When I tell them that I prefer staples, and haven't sutured skin in > years (and thus am a bit out of practice), well, many seem taken aback. > > I have found that I don't want to tell the > mechanic/gardener/plumber/electrician etc. how to do his job, yet this > seems the opposite to me. > > What's up with that? > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > Next message: Garry E. Siegel, M.D.: "Re: Ob:  staples at C/S" Previous message: Kim E. Goldman: "Re: Ob:  staples at C/S" In reply to: Garry E. Siegel, M.D.: "Ob: staples at C/S" Next in thread: RModugno@aol.com: "Re: Ob: staples at C/S"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:54:01 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.