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Re: Single Layer vs Double Layer Uterine Closure From: Douglas Krell (dkrell@msn.com) Sun Nov 9 14:01:59 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Bülent Potur: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Please describe your technique; perhaps as you would dictate in an operative report. (English preferred) thanks, Douglas Krell MD > ----- Original Message ----- From: Bernard Cristalli To: Multiple recipients of list OB-GYN-L Sent: Sunday, November 09, 2003 12:58 PM Subject: Re: Single Layer vs Double Layer Uterine Closure It's my standard CS technique on a regular basis. -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : bpotur@ttnet.net.tr (Dr. Bülent Potur) > Répondre à : ob-gyn-l@obgyn.net > Date : Sun, 9 Nov 2003 11:08:36 -0600 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Objet : Re: Single Layer vs Double Layer Uterine Closure > > 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: >> >> but you aren't teaching residents on a day to day basis. > > -- > Bülent Potur M.D. Obgyn. > http://medpages.obgyn.net/docdetail.cfm?sn=424 > Next message: Dr. Bülent Potur: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure"

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