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Re: Acute Appendicitis at 36.5 weeksFrom: Garry E. Siegel (garrys@mindspring.ocm)Thu Jun 29 19:57:40 2000
At Thu, 29 Jun 2000, Braun, R. Daniel wrote: > > SOMETIMES !!!! >Dan > >And at the time of C-section, it's really easy to find the appendix >after the >baby is out, even through a relatively modest Pfannenstiel... > >Joe P. Or, if you wanted to deliver first, make a wider than normal transverse skin incision, and do a Maylard or "semi-Maylard" in which you cut the muscles from medial to lateral 2/3 to 3/4 of their width, maybe take the vessels, maybe not, open the peritoneum transversely. Once the baby is out and the uterus closed, there's a lot of room. Garry Are we worried about infection? What I mean is that the uterus will be freshly injured and sutured, and nearby we are taking out an infected appendix.
-- Garry E. Siegel, M.D., F.A.C.O.G. Private Practice Roswell, GA
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