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Re: peritoneum From: Joanne Bulley, MD (islesannie@gmail.com) Thu Mar 6 23:24:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "RE: =?ISO-8859-9?Q?Re:_Yanýt:_perit" Previous message: Joanne Bulley, MD: "Re: Marathons-poll" In reply to: Gordon Goldman: "Re: peritoneum" Next in thread: Dr Eberhard W Lisse: "Re: peritoneum" Reply: Dr Eberhard W Lisse: "Re: peritoneum" Ditto - I never liked what I saw on re-ops when others had not closed the peritoneum. Since I never didn't close it - I don't have to re-learn to close it! I 99.9% do sub-Q skin closures. Much nicer end result. Joanne At Thu, 6 Mar 2008, Gordon Goldman wrote: > >Frances, > >For years I was the 'outcast', refusing to not close the peritoneum >at laparotomy/section. I have a general surgical background and had >always felt a careful/clean peritoneal closure was better with regard >to adhesion formation than simply leaving it up to 'natural' biologic >processes. Ditto for the bladder flap, as long as you don't >'advance' it as they did in the early days. It just does not take >that much extra time and my experience with others who have gone >before me did not justify any change. The same sequence of events >you have experienced is also occurring at our hospitals. > >I also continue to close transverse incisions with subcuticular 3/0 >plain catgut, not staples. I think the wound looks better and heals >better and doesn't leave 'staple tracks'. > >-- >Gordon M. Goldman, M.D., FACOG >Private Practice, St. Louis, Mo. > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: Raymond Stephen: "RE: =?ISO-8859-9?Q?Re:_Yanýt:_perit" Previous message: Joanne Bulley, MD: "Re: Marathons-poll" In reply to: Gordon Goldman: "Re: peritoneum" Next in thread: Dr Eberhard W Lisse: "Re: peritoneum" Reply: Dr Eberhard W Lisse: "Re: peritoneum"

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