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Re: Single Layer vs Double Layer Uterine Closure From: Dr. Bülent Potur (bpotur@ttnet.net.tr) Sun Nov 9 14:36:39 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Douglas Krell: "Re: Single Layer vs Double Layer Uterine Closure" In reply to: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Next in thread: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Reply: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Reply: Joanne Bulley, MD: "Re: Single Layer vs Double Layer Uterine Closure" Well enchanté!!! You are the first person that performs Misgav Ladach operations that I have met -though virtual- since I have been trying to perform these operations for four years. Do you adhere to the original discription of Dr. Michael Stark or did you modify the method? For example do you really close the skin with only three separated stiches? Do you open nearly the whole fascia with caudal and cranial traction? Do you use no 1 polyglactin or no 1 chromic for one layer uterine closure? Do you believe that the absorbtion time of polyglactin is so long that it can protrude through vagina several months after the operation? Can you easily perform the operation in repeat cases or do yo have to rely on scissors more on them? A bientot! At Sun, 09 Nov 2003, Bernard Cristalli wrote: > >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: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Douglas Krell: "Re: Single Layer vs Double Layer Uterine Closure" In reply to: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Next in thread: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Reply: Bernard Cristalli: "Re: Single Layer vs Double Layer Uterine Closure" Reply: Joanne Bulley, MD: "Re: Single Layer vs Double Layer Uterine Closure"

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