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Re: peritoneumFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Fri Mar 7 04:36:15 2008
> >What "bladder flap" are you talking about? > >greetings, el > el in north America its common practice to pick up the loose visceral peritoneum in the lower uterine/cervical segment and mobilize the bladder slightly posterior prior to making the uterine incision; much like when doing an abdominal hyst. I do it because it helps push the ureters down and lateral; in the event of a huge extension the ureters usually behave and keep sliding lateral and down, fortunately the ureters are usually somewhere around the patients toes in most sections anyway especially if you have the good sense not to make the incision to low.
--
Take care, John
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