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Re: peritoneumFrom: ainsron (ainsron@sbcglobal.net)Thu Mar 6 15:52:10 2008
I never quit closing it and never regretted it. I think I see less adhesions on my own repeats than on others. If I do routine skin to skin of 25 minutes, how important is it to save an additional minute by not closing the bladder flap or peritoneum? Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of FRANCES WREN Sent: Thursday, March 06, 2008 11:43 AM To: Multiple recipients of list OB-GYN-L Subject: peritoneum for years I neatly sewed up the parietal peritoneum at C/S (25 yrs+) then within the last 1-2 years started , as it seemed the literature had been advocating for some time , to leave it open and just sew up the fascia. this am I did a C/S ..I am doing a locum, and my assistant said he'd heard that the'y revised the opinion of leaving the peritoneum open and it was now...again...felt better to close it ..in terms of adhesion formation. certainly looks neater at the time when one closes it....but quicker to not (besides I am now used to NOT closing it) I have not read anything recently saying to close it .. any evidence re better to close or leave open???? opinions please. frances wrenMD FRCS.
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