|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Single Layer vs Double Layer Uterine ClosureFrom: Dr. Bülent Potur (bpotur@ttnet.net.tr)Sun Nov 9 10:05:41 2003
Speaking of teaching residents in my previous e-mail I had mentioned Misgav Ladach procedure. How many of you use it as a standard C/S procedure? What percentage of you teach it to residents? I ask this because in some scientific meetings around here it is mentioned and pioneered as a brand new invention of modern obstetrics adding speed and naturality to the operations. As to the uterine angles, I place one separate no 2 chromic through whole thicknes of myometrium at each angle under direct vision. Then first layer No: 2 chromic contiuous locking, Second layer No:1 Chromic non locking but burying, visceral peritoneum No 0 chromic locking with a small bite of myometrium. On repeat sections of uteri sectioned this way low segment is generally quite thin. Then 1 st layer No:1 Chromic locking, peritoneum No:0 locking. We generally perform Pomeroys' at the third section. I would like to ask Dan how he tackles let's say the extended tear of left uterine angle with ruptured and pulsating left uterine artery. Do you isolate and separately ligate the artery or do you prefer to bury it within figure of eight separate sutures?
>At Fri, 7 Nov 2003, Braun, R. Daniel wrote:
-- Bülent Potur M.D. Obgyn. http://medpages.obgyn.net/docdetail.cfm?sn=424
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Dec 2 04:42:29 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.