Re: Ob: staples at C/S

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Jul 30 07:21:38 2006


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Staples are used on a regular basis for thyroidectomies. These scars are probably among the less visible and prettiest. Staples have to be loosened on the 2nd POD, that's the point which avoids ugly scars, then one out of two is removed the next day, and the rest the day after.

If you keep tightened staples for a long time you'll have those ugly scars. And the removal is painless for anyone used to it. Bernard

RModugno@aol.com a écrit :

> In a message dated 7/29/2006 9:36:00 P.M. Eastern Daylight Time,
> kthomas719@hotmail.com writes:
>
> Staples have only one advantage over subcuticular closure-speed.
> Otherwise, they are painful to remove (the patient feels each
> one), they
> leave gaps in the incision when removed, and they invariably produce
> uglier scars, including the "dotted lines" when left in situ for too
> long. Since the scar is the only visual indicator of teh quality of
> your surgery that the patient (and her friends and family) will ever
> see, it is clearly advangtageous for you to minimize the
> discomfort and
> maximize the appearance of her scar. It's well worth a few more
> minutes
> of your time and effort in the OR.
>
> KT
>
> KT, do you have data unencumbered by emotion to support your
> statements regarding cosmesis? For example:"they invariably produce
> uglier scars"
>
> Robert Modugno MD MBA FACOG
> Sylva, NC





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