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Re: Upper midline incisionFrom: ainsron (ainsron@sbcglobal.net)Tue Mar 1 15:54:17 2005
I would do it the same way and probably do as low a vertical incision on the uterus as possible. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, March 01, 2005 2:44 PM To: Multiple recipients of list OB-GYN-L Subject: OB: Upper midline incision 30 YO P3003 pre-existing IDDM, 300#, prior LTC/S for repeat C/S-TL. After her C/S, which was done through a transverse skin incision above the fold below the pannus (around 3 cm above), she had an "infection" in 2 days that took 6 months to heal. I'm strongly thinking about a super-umbilical midline incision, which I've done a few times in patients with this habitus. My only reasons to hesitate over and above the usual ones are the fact that she had a serious wound infection last time (albeit a high risk area), she's diabetic, and that when I've used this approach, I sometimes do a classical C/S for ease of access. Obviously, she's having a TL, so I'm not worried about rupture in the future, but a Classical C/S is more prone to infection postop, I supppose. Any thoughts? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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