Re: Incision type
From: Bernard Cristalli (bcrist@club-internet.fr)
Thu Jul 13 11:05:21 2006
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No incision, a VD.
BC
Lynn Montgomery, MD a écrit :
> Transverse for the skin. With regard to a preemie breech, nobody
> would ever fault you for doing a classical. I have always used my
> hand placed over the lower segment as a gauge to determine if it is
> "developed" enough to give me enough lateral room to make an LCT
> incision. If the lower segment is not "developed", it is better to
> chose a classical. Entrapment of the after coming head, transection
> of the fetal spinal cord in a preemie and "T'ing" an LCT incision are
> the risks of using a LCT uterine incision without adequate room.
> Lynn
>
> ------------------------------------------------------------------------
> -----------------------------------------------------------------------> *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of=20
> -----------------------------------------------------------------------> *Elrod, Darryl G Maj 48 MDOS/SGOBO
> *Sent:* Thursday, July 13, 2006 3:42 AM
> *To:* Multiple recipients of list OB-GYN-L
> *Subject:* Incision type
>
> As you know this hospital rarely does early deliveries. We had a set
> of 27 wk twins in labor this morning. The first was footling breech,
> the second transverse. We did the section and all went fairly well
> but we second guessed our incision choices.
>
> What incision would you use for skin and for uterus?
>
> Thanks,
>
> Glen
>
> //SIGNED//
>
> D. Glen Elrod, Maj., USAF, MC
>
> Obstetrician/Gynecologist
>
> Chief of Obstetrics
>
> 48 MDOS/SGOBO
>
> RAF Lakenheath, England
>
> Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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