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Re: 4th degree tear/reconstructionFrom: Joanne Bulley, MD (jbulley@cheshire.net)Sat Jun 17 17:44:03 2000
At Sat, 17 Jun 2000, Garry E. Siegel wrote: >You are 1,000% correct; one of the junior Ob faculty when I was a senior >student on an Ob sub-internship stressed that you should consider >episiotomy/laceration repair as vaginal surgery--exactly as you said. > >That said, we sometimes do this in poor conditions, the LDR suite with >light not as good as an OR, no suction, no assistant, sometimes >suboptimal anesthesia (pudendal, local, or epidural that is worn off). >When I get a 4th degree, I get appropriate anesthesia, extra light if >needed, and ask a delivery nurse to "scrub in" if I think I need it. > >Garry > Yup! Well Said!
-- Joanne Bulley, MD Keene, NH, USA
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