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Re: Skin StaplesFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Dec 2 04:23:13 2003
No data, just my personal experience: Transverse skin incision Out on day 2 Vertical skin incision Out on day 12 Leaving them in that long decreases the number of scars that are 3 inches wide. With a vertical incision the forces are pulling the edges apart with a transverse, they pull them together. Dan -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, December 01, 2003 7:28 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: Skin Staples Here's a question I've pondered lately, and I really can't find much on it. For those of you who use skin staples for laparotomies, when do you take them out, i.e. PO day 3, 4 or other? Does it depend on whether the skin incision is transverse or low midline? Does it depend of the type of surgery (i.e. TAH versus C/Section), and whether it is a first time through versus the nonfirst time through? I went looking through some general surgery texts in our library, and nothing really covered this at all. I couldn't find anything on a medline, although I didn't give it hours :). I suspect we all do what we do "because that's what we were taught," tempered with experience. Any input/references appreciated. Garry FWIW: Primary C/section, first incision, transverse--out on PO 3 or 4. Primary C/section, first incision, low midline (not often)--PO 4 or 5, unless quite obese, and then I'll go around 7 days. Second incisions--a bit longer than the above.
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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