Re: peritoneum

From: Dr Eberhard W Lisse (el@lisse.na)
Fri Mar 7 05:54:37 2008


Why would one want to mobilize the ureters, do you like tie them off in the US?

el

On Mar 7, 2008, at 13:36, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote:

>>
>> 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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