Re: Single Layer vs Double Layer Uterine Closure
From: Efrain Ramirez (eramirezt@coqui.net)
Sat Nov 8 19:49:23 2003
I do not use Allis clamps unless angles are "difficult" ... waist of
time..
>At Thu, 6 Nov 2003, RModugno@aol.com wrote:
>
>I place allis clamps on each angle. Then I start my suture lateral to
>one angle and finish up lateral to the other. I tie behind each allis.
>
>Dan
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf
>Of RModugno@aol.com
> Sent: Thursday, November 06, 2003 6:13 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Single Layer vs Double Layer Uterine Closure
>
> In a message dated 11/6/2003 5:17:23 PM Eastern Standard Time,
>eramirezt@coqui.net writes:
>
> At Thu, 6 Nov 2003, Braun, R. Daniel wrote:
> >
> >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
>
> My main concerns are the uterine angles. I place a figure of 8
>at the right angle under direct vision. Then start my new suture from
>the left angle as a figure of 8 - then run across to the other side as
>a continuous lock in a single layer and tie it to the right angle. Call
>me crazy :+)
>
> Robert Modugno MD MBA FACOG
> Marietta, GA
> http://www.novaobgyn.yourmd.com
>
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>Message
>
>I place allis clamps on each angle. Then I
>start my suture lateral to one angle and finish up lateral to the other. I tie
>behind each allis.
>
>Dan
>
> <FONT
> face=Tahoma>-----Original Message-----From: ob-gyn-l@obgyn.net
> [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> RModugno@aol.comSent: Thursday, November 06, 2003 6:13
> PMTo: Multiple recipients of list OB-GYN-LSubject: Re:
> Single Layer vs Double Layer Uterine Closure
>
> In a message dated 11/6/2003 5:17:23 PM Eastern Standard Time,
> eramirezt@coqui.net writes:
> <BLOCKQUOTE
> style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px solid"><FONT
> face=Arial>At Thu, 6 Nov 2003, Braun, R. Daniel wrote:>>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
> My main concerns are the uterine angles. I place a figure of 8 at the
> right angle under direct vision. Then start my new suture from the left angle
> as a figure of 8 - then run across to the other side as a continuous
> lock in a single layer and tie it to the right angle. Call me crazy :+)
>
> Robert Modugno MD MBA FACOG
> Marietta, GA
> http://www.novaobgyn.yourmd.com
>�
>------_=_NextPart_001_01C3A521.64DAFEC2--
--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."
Niels Bohr (1885 - 1962)
