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Re: IncisionFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sun Jul 28 07:13:08 2002
If the patient has no preference then I will use a new pfanenstiel rathier than an old midline. I will do most hyst, ovarian cysts, etc with a pfanenstiel. If the mass extends above the umbilicus I will consider using a midline. On a few very rare cases I have had to use a maylard or modify to maylard from pfanenstiel. Where I trained almost all oncology cases where done with pfanenstiels, Midline vertical incsions where only used for highly suspicious ovarian cancer cases. Two thumbs up for the bocwalter retractor, especially helpfully for the big ladies and probablly even more greatly appreciated by the assistant.
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Take care, John
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