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RE: Ob:  staples at C/S From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Mon Jul 31 04:07:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Ob: staples at C/S" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S" In reply to: Garry E. Siegel, M.D.: "Re: Ob:  staples at C/S" Next in thread: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S" So I assume your c-sections all stay for 72 hours? I guess this is another reason I like to suture as all mine go home in 48 hours (not to start getting us off on that tangent again) so removing them even at 72 hrs would require a trip back to the hospital (clinic) Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Sunday, July 30, 2006 4:35 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Ob:  staples at C/S Ken: I am in Joe's camp on this. I believe that the literature shows equivalent healing, etc. with sutures v. staples. The extra few minutes is a non-factor for me. I (or the fine surgical assistant to which Robert alluded) put in a SQ for folks going home in a couple of days, i.e. I've done two open myomectomies and they had sutures. At a C/S, if you take out the staples in 3 days, as I do, I've just not seen any staple holes, and the incisions are straighter. A small number of patients complain, but most don't. I find that taking the staples out myself on the day of discharge allows me time to go over instructions, etc., while removing them. I've actually been very impressed with a SQ Prolene with the ends out lateral to the incision, placing steri-strips, and removing the suture in a few days. I've done this to prior keloids that I've excised, upon the advise of a friendly plastic surgeon. The reason I don't do all cases this way is that it requires a trip back to the office. Garry At Sat, 29 Jul 2006, DoctorJoe@aol.com wrote: > >In a message dated 7/29/06 8:36:00 PM, 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. >> >Following my own experience, I would pretty much disagree with each >individual point you've asserted. > >Joe P. -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: Ob: staples at C/S" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S" In reply to: Garry E. Siegel, M.D.: "Re: Ob:  staples at C/S" Next in thread: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S"

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