Re: Single Layer vs Double Layer Uterine Closure

From: DoctorJoe@aol.com
Thu Nov 6 14:05:50 2003


In a message dated 11/6/03 10:06:00, rbraun@iupui.edu writes:

> How important is it to close the uterus with a suture that persists?
> Anybody gone back 24-48 hours post C/S and seen how loose that suture is? The
> uterus begins to involute very rapidly and after 48 hours that suture isn't
> holding much but empty space. I suspect although I have never tried it or seen
> where anyone else has either, that if one used plain catgut (gone in 5-7 days)
> one would get just as good a repair.
>

Good point. Just hard to design a double-blind, RCT that any IRB would approve.

Joe P.





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