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Re: Ob:  staples at C/S From: Garry E. Siegel, M.D. (garrys@mindspring.com) Sat Jul 29 22:33:21 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DMECNM@aol.com: "Fri: Second Opinion" Previous message: Garry E. Siegel, M.D.: "Re: Gyn: Elongated cervix" In reply to: DoctorJoe@aol.com: "Re: Ob:  staples at C/S" Next in thread: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S" Reply: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S" Ken: I am in Joe's camp on this. I believe that the literature shows equivalent healing, etc. with sutures v. staples. The extra few minutes is a non-factor for me. I (or the fine surgical assistant to which Robert alluded) put in a SQ for folks going home in a couple of days, i.e. I've done two open myomectomies and they had sutures. At a C/S, if you take out the staples in 3 days, as I do, I've just not seen any staple holes, and the incisions are straighter. A small number of patients complain, but most don't. I find that taking the staples out myself on the day of discharge allows me time to go over instructions, etc., while removing them. I've actually been very impressed with a SQ Prolene with the ends out lateral to the incision, placing steri-strips, and removing the suture in a few days. I've done this to prior keloids that I've excised, upon the advise of a friendly plastic surgeon. The reason I don't do all cases this way is that it requires a trip back to the office. Garry At Sat, 29 Jul 2006, DoctorJoe@aol.com wrote: > >In a message dated 7/29/06 8:36:00 PM, kthomas719@hotmail.com writes: > >> Staples have only one advantage over subcuticular closure-speed. >> Otherwise, they are painful to remove (the patient feels each one), they >> leave gaps in the incision when removed, and they invariably produce >> uglier scars, including the "dotted lines" when left in situ for too >> long.  Since the scar is the only visual indicator of teh quality of >> your surgery that the patient (and her friends and family) will ever >> see, it is clearly advangtageous for you to minimize the discomfort and >> maximize the appearance of her scar.  It's well worth a few more minutes >> of your time and effort in the OR. >> >Following my own experience, I would pretty much disagree with each >individual point you've asserted. > >Joe P. -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: DMECNM@aol.com: "Fri: Second Opinion" Previous message: Garry E. Siegel, M.D.: "Re: Gyn: Elongated cervix" In reply to: DoctorJoe@aol.com: "Re: Ob:  staples at C/S" Next in thread: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S" Reply: Elrod, Darryl G Maj 48 MDOS/SGOBO: "RE: Ob:  staples at C/S"

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