Re: One layer uterine closure

From: Bernard Cristalli (bcrist@club-internet.fr)
Sat Sep 2 05:49:00 2006


Content-Type: text/plain; charset=ISO-8859-1; format=flowed Content-Transfer-Encoding: 8bit

El How come obstetricians always are the last ones? It's been a long time bowel and vascular anasomosis are done with one layer continuous absorbable sutures and obstetricians still wonder on interrupted double leyer closure, why not silk afer all? Do you think gut or arteries are of lesser importance than uterus? Isn't it more vital to close carefully the colon and/or the aorta than the uterus? Remember we don't even close the muscles in parietal transversal incisions and the muscles heal by themselves. One layer continuous suture./ BC

Dr Eberhard Lisse a écrit : > Bernard,
>
> There is no standard in Europe.
>
> In Europe there are at least 6 schools of thought that I know personally
> of, French, UK, West and East German, Romanian and Russian. And I have
> no clue what happens in Spain, Italy and other places.
>
> The rupture rates have nothing to do with other countries per se, but
> perhaps with other techniques.
>
> I don't think 2 layers is worse than one, takes one minute longer, and
> makes me feel better. I *HAVE* seen onlayer closure com eloose once with
> catastrophic results.
>
> el
>
> on 9/2/06 7:23 AM Bernard Cristalli said the following:
>
>> One layer closure has been the standard of care here (France, and Europe
>> I believe) for the last 40 years.
>> I haven't seen our rupture rates at VBAC are higher than others, and we
>> perform a lot of VBACs.
>> BC
>>
>





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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: Wed Jul 2 04:44:47 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.