Re: One layer uterine closure
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Sep 8 06:35:47 2006
I use unlocked 2 layers.. until the evidence shows something
better....thanks..
Ef
>At Thu, 7 Sep 2006, R. Daniel Braun wrote:
>
>If you read the whole article, you will find that the single layer closures
>were all LOCKED sutures. This would make a big diference. The study needs
>to be done comparing with UNLOCKED single layer.
>
>Dan
>
>On 9/7/06, Efrain Ramirez <eramirezt@coqui.net> wrote:
>>
>> At Thu, 7 Sep 2006, R. Daniel Braun wrote:
>> >
>> >OOOOOOOOHHHH!!!!!!!!!!!
>> >Data???
>> >
>> >Dan
>> The impact of a single-layer or double-layer closure on uterine rupture.
>> Bujold E, Bujold C, Hamilton EF, Harel F, Gauthier RJ
>>
>> Am J Obstet Gynecol (2002 Jun) 186(6):1326-30 ISSN: 0002-9378
>>
>> Obstetric Surgical Procedures
>> Uterine Rupture
>> Cohort Studies
>> Comparative Study
>> Female
>> Human
>> Odds Ratio
>> Pregnancy
>> Recurrence
>> Trial of Labor
>>
>> Abstract
>>
>> OBJECTIVE: Our purpose was to measure the impact of a single-layer or
>> double-layer closure on uterine rupture at subsequent delivery.
>>
>> STUDY DESIGN: This is an observational cohort study of all women
>> undergoing a trial of labor from 1988 to 2000 in a tertiary care center,
>> after a single low transverse cesarean delivery. Factors most highly
>> associated with uterine rupture were identified by using univariate
>> regression analysis. Multivariate logistic regression analysis was used
>> to adjust for selected confounding variables.
>> Top of Abstract
>> RESULTS: Of the 2142 women who met the study criteria, 1980 (92.4%) had
>> maternal records and original operative reports reviewed. After
>> adjustments were made for confounding variables, the odds ratio for
>> uterine rupture in women with a single-layer closure was 3.95 (95% CI,
>> 1.35- 11.49).
>>
>> CONCLUSION: A single-layer closure of the previous lower segment
>> incision was the most influential factor and was associated with a
>> 4-fold increase in the risk of uterine rupture compared with a
>> double-layer closure.
>>
>> --
>> R. Daniel Braun
>>
>> "The way to health is an aromatic bath and scented massage
>> everyday".
>> Hippocrates
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
