-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: OB: Upper midline incision From: R. Daniel Braun (rd.braun@gmail.com) Tue Mar 1 16:57:38 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Sterilization" Previous message: RModugno@aol.com: "Re: Upper midline incision" In reply to: Garry E. Siegel, M.D.: "OB: Upper midline incision" Next in thread: Henry Gregor: "Re: OB: Upper midline incision" Reply: Henry Gregor: "Re: OB: Upper midline incision" Transverse incision just above or just below the umbilicus. Have to tie epigastrics and cut the recti. but still somehat stronger than midline, On Tue, 1 Mar 2005 16:43:37 -0600, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: > 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 > -- R. Daniel Braun Kinky for Governor Next message: Joanne Bulley, MD: "Re: Sterilization" Previous message: RModugno@aol.com: "Re: Upper midline incision" In reply to: Garry E. Siegel, M.D.: "OB: Upper midline incision" Next in thread: Henry Gregor: "Re: OB: Upper midline incision" Reply: Henry Gregor: "Re: OB: Upper midline incision"

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: Thu Oct 2 04:47:59 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.