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Re: two week check up WAS staples at C/S From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Tue Aug 1 02:55:06 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kim Elise Goldman: "Re: two week check up WAS staples at C/S" Previous message: Ronald Ainsworth: "Re: staples at C/S" In reply to: Ronald Ainsworth: "Re: staples at C/S" Next in thread: Kim Elise Goldman: "Re: two week check up WAS staples at C/S" Reply: Kim Elise Goldman: "Re: two week check up WAS staples at C/S" Reply: ainsron: "Re: two week check up WAS staples at C/S" Reply: Efrain Ramirez: "Re: two week check up WAS staples at C/S" I'm curious why you do a two week check on c-sections. It has been my experience that if they make it to two weeks without a wound problem, they will be fine by that point. Finally, we just collectively decided that it was a waste of their time and my time to have them come in to look at a perfectly normal incision. I also tell patients to remove the steristrips at 7-10 days but for some reason the only thing most of them remember is the nurse telling them to leave them in place until they fall off on their own. It has been like pulling teeth to get the nurses not to tell them to do this and go with the 7-10 days. 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. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ronald -- ________________________________ Ainsworth Sent: Tuesday, August 01, 2006 6:31 AM To: Multiple recipients of list OB-GYN-L Subject: Re: staples at C/S I've always put them on at the time of discharge, usually third day. If the patient goes home on the second day, I usually have them come in to the office to remove the staples on the fourth or fifth day and then place steri-strips. I always like to use skin-prep to help them adhere better. Skin-prep is basically a stoma adhesive, for those that don't use it. I tell them to remove the steri-strips when they start lifting up in 7-10 days, or I remove them when they come in at their two week checkup. I prefer sutures on the obese patient, either subcuticular or interupted mattress sutures, as I can leave them in longer without getting a significant inflammatory response. "Garry E. Siegel, M.D." <garrys@mindspring.com> wrote: Dan and others: I've always been a bit reluctant to remove staples before 3 days, unencumbered by data. I've looked a bit, and really haven't found anything that says 2 versus 4 days. Obviously, in a transverse skin incision, there forces are such that the incision is well approximated. Steri-strips? I've always used these because someone taught me to do so. Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Kim Elise Goldman: "Re: two week check up WAS staples at C/S" Previous message: Ronald Ainsworth: "Re: staples at C/S" In reply to: Ronald Ainsworth: "Re: staples at C/S" Next in thread: Kim Elise Goldman: "Re: two week check up WAS staples at C/S" Reply: Kim Elise Goldman: "Re: two week check up WAS staples at C/S" Reply: ainsron: "Re: two week check up WAS staples at C/S" Reply: Efrain Ramirez: "Re: two week check up WAS staples at C/S"

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