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Re: Ob: staples at C/S From: R. Daniel Braun (rd.braun@gmail.com) Sun Jul 30 13:30:20 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Ob: staples at C/S" Previous message: R. Daniel Braun: "Re: Ob: staples at C/S" On 7/29/06, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: > > 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. I've done this from about 25 yrs ago until 10 yrs ago when I went to staples. I always took the stitch out on the day of discharge. Staples were quicker with the same benefit. Dan 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 > -- R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday". Hippocrates Next message: R. Daniel Braun: "Re: Ob: staples at C/S" Previous message: R. Daniel Braun: "Re: Ob: staples at C/S"

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