Re: OB didelphyic/bicornuate and breech --> type of incision?

From: Efrain Ramirez (eramirezt@coqui.net)
Tue Jul 29 04:25:52 2008


I have done a "J" incision as an extension of a transverse on LUS when there was no enough room for whatever reason.. not as a primary incision. I have done inverted "T" .. very few - it's good to know the alphabet :)

Ef

At Tue, 29 Jul 2008, Dr Eberhard W Lisse wrote: >
>I like the J incision. And in those case where I expect something I
>angle the lower segment transverse incision upwards on the far side
>(I am right handed so it;s the left side of the patient) then
>extension if
>needed is easy and provides enough exposure.
>
>Try it.
>
>el
>
>On 29 Jul 2008, at 04:58 , Raymond Stephen wrote:
>
>> The reason for suggesting the transverse upper segment incision is
>> that
>> it heals more strongly so ultimately is less likely to rupture in a
>> future pregnancy. I put the incision as close to the lower segment as
>> is possible, but still allowing enough room for the fetal head to get
>> through.
>>
>> Steve Raymond
>> Ph (03)62227898
>> Cell 0438372395
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>> Efrain
>> Ramirez
>> Sent: Tuesday, 29 July 2008 10:12 AM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
>>
>> Saludos Steve - I feel much, much more comfortable with a vertical
>> incision in those cases - never a regret (Gracias a Dios) exactly at
>> what level do you make the incision?
>>
>> Ef

--
"I can accept failure, but I can't accept not trying." - Michael Jordan




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