Re: peritoneum

From: allanho@aol.com
Fri Mar 7 15:27:08 2008


you don't actually disect the ureters, mobilizing the bladder with the lower end of a retractor helps push the uerters lateral and down, in most c-sections its not necessary as along as you don't make your incision too low are have an extension down to the patient's toes. P.S. the most common case of hematuria at my c-sections is catether insertion by the nurses, I kown this because the hematuria is there before I start, and I don't get Urology consults for cases of hematuria after c-section.

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                                 Take care, John

I see a somewhat circular reasoning here -?since 1. its not necessary to make a bladder flap as long as the uterine incision is not too low, and?2. without making a bladder flap, one would not be able to make an incision that's too low.? Corollary - you won't need to make a bladder flap unless you make?a bladder flap?first!

I remember reading from somewhere that the original reason for making?a bladder flap was to have something covering up the uterine incision.? It was an attempt to contain the infection that invariably would come about before antibiotics were commonly available.

Allan





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