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Re: OB: Upper midline incision From: Henry Gregor (henrygregor@yahoo.com) Wed Mar 2 10:43:50 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Induction protocols" Previous message: Henry Gregor: "Re: discontinuation of tamoxifen" In reply to: R. Daniel Braun: "Re: OB: Upper midline incision" Next in thread: Efrain Ramirez: "Re: OB: Upper midline incision" Agree. H. Krebs and others published on this some years ago. Works well, panniculus falls away nicely. Just be sure to have long instruments on hand....thoracic scissors and clamps usually fit the bill and can be very handy to have, tho' I'm thinking here of use in hys'y rather than C/S. Hank "R. Daniel Braun" <rd.braun@gmail.com> wrote: 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. 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 Yahoo! Netrospective: 100 Moments of the Web Next message: Andrew Folley: "Re: Induction protocols" Previous message: Henry Gregor: "Re: discontinuation of tamoxifen" In reply to: R. Daniel Braun: "Re: OB: Upper midline incision" Next in thread: Efrain Ramirez: "Re: OB: Upper midline incision"

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