-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: One layer uterine closure From: Dr Eberhard Lisse (el@lisse.NA) Sat Sep 2 00:06:52 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: One layer uterine closure" Previous message: D. Ashley Hill: "Re: One layer uterine closure" In reply to: Dr. Cesar Molina: "One layer uterine closure" Next in thread: Bernard Cristalli: "Re: One layer uterine closure" Art, the Kraut paper is 20 years ago, and they like to use locking sutures in Germany which in two layers may account for more issues. Then, the funding model was at that stage pay for days in hospital, 10 days for a C/S (I am not kidding you) even when I specialized a few years ago, and even now, when they get a fixed fee they like to keep 'em (5 to) 7 so the hospital times a very poor measure. Steve, I do Misgav Ladach since many years, but I modify it by way of two non locking vicryl layers (never had any problems). And I close the skin properly :-)-O. The whole point of Misgav Ladach is the blunt entry and the non closure of the peritoneum. el on 9/2/06 2:33 AM Dr. Cesar Molina said the following: > At Sun, 10 Jun 2001, art fougner, md wrote: >> germans had an entirely different experience - >> >> 1: Zentralbl Gynakol 1986;108(17):1039-45 >> >> [Clinical experiences with a single layer uterine suture in cesarean >> section]. >> >> [Article in German] >> >> Winkler M, Ruckhaberle KE, Saul S, Forberg J. >> >> In this analysis 536 caesarean sections with a single layer uterine >> suture were compared to 256 sections with two layer closure. Their >> relations with regard to indications of operative delivery, >> complications during the puerperium and their courses in subsequent >> vaginal deliveries were taken into consideration. - The significant >> lower rate of pyrexia and shorter hospital stay of the patients may be a >> result of quicker and better healing of the single layer suture. The >> increased rate of complications in the puerperium is partially due to >> changes in the registry of dates. Absent disturbances during the >> placental period and the occurrence of only one uterine rupture, in the >> course of vaginal delivery in a patient with a previous single layer >> caesarean section suture, demonstrates the functional sufficiency of >> this technic. >> >> PMID: 3538711 [PubMed - indexed for MEDLINE] >> >> seems reasonable to perform a formal trial. >> >> art >> >> At Sun, 10 Jun 2001, Steve Raymond wrote: >>> Yes, and we are considering enrolling, but we had an experience about four years >>> ago when one of the rural hospitals that refers to us decided to start one layer >>> closures after reading about the Misgav-Ladach technique. We found after a few >>> months that they were suddenly sending us problem cases of bleeding and failure >>> of healing and such like, which had us mystified until they informed us of the >>> change in technique, of which we had not previously been aware. >>> >>> Seems to me that they should have an ethical committee ruling on this! >>> stray >>> >>>> The CAESAR study is recruiting in UK, is it not? >>>> >>>> Rupak Ranjan Roy >>>> MRCOG >>> -- >>> >>> Dr.S.H. Raymond >>> Head of Department of O & G >>> Empangeni Hospital >>> South Africa 3880 >>> Phone: (+27) 35-7721111 >>> Fax: (+27) 35-7922596 >>> >> -- >> art fougner, md >> >> A series of 1000 cases begins with but a single anecdote. >> -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please send DNS/NA-NiC related e-mail Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na Next message: Bernard Cristalli: "Re: One layer uterine closure" Previous message: D. Ashley Hill: "Re: One layer uterine closure" In reply to: Dr. Cesar Molina: "One layer uterine closure" Next in thread: Bernard Cristalli: "Re: One layer uterine closure"

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 04:54:23 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.