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Re: adhesionsFrom: STEWART PRINGLE (100724.2333@CompuServe.COM)Sat Sep 28 10:15:35 1996
Major adhesions at ime of C/S do seem to be a very rare but difficult problem. Recently one of our senior consultants ended up going through both the anterior and posterior bladder walls to deliver a young prim breech at term. She'd had a laparotomy for abdominal trauma in childhhood but no problems since. At op no route could be found to the lower segment except through the bladder ( the initial opening wasn't intended!). Last week I saw a urologist demonstrating bladder reconstruction (Clam cystoplasty) for severe detrusor instability and commented that these women sometimes end up having a C/S but they'd never been involved in such a case. How do you avoid the bladder/bowel?
-- Stewart Pringle Specialist Registrar Southern General Hospital Glasgow, UK 100724.2333@compuserve.com
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