Re: Uterine Closure Post C/S

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Sun Jul 13 13:50:14 2003


Yes, this happens with my new residents about once a year and I now include a mention of this in the tutorial on caesarean sections; how to recognise and avoid it. I've also seen the posterior lip of the cervix turn up and be mistaken for lower edge of uterine wound!

Gerald P. Rodríguez wrote:

> Years ago, I was assisting a resident at a C/Section and we were 2/3
> of the way with closing the low-transverse uterine incision when I
> realized that we were sewing the upper edge of the uterine to the back
> wall of the uterus. There was a transverse ridge in this area which
> fooled us both into thinking that we were suturing the upper to the
> lower edges. Has anyone else seen this happen?
>
> Gerald P. Rodríguez, M.D., FACOG

--
S.H. Raymond FRCOG
Principal Specialist
Department of Obstetrics & Gynaecology
Empangeni Hospital
Private Bag X20005
Empangeni
SOUTH AFRICA 3880

Phone: (+27)-35-9028560 Fax: (+27)-35-7922596





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