Re: Placenta Accreta

From: Dr Eberhard W Lisse (el@lisse.na)
Sat Feb 16 11:37:06 2008


B-Lynch makes quite a bit of sense too :-)-O

Unfortunately I didn't know about that when I was working in Oshakati 5 years ago and had to take out a ruptured uterus a month :-(-O. Next time it happens (and I hope never) I'll try it before I take it out.

el

On Feb 16, 2008, at 17:15, Bernard Cristalli wrote:

> I'll get the pictures tomorrow at the clinic and scan them.
> The point is to pass multiple large and thick figure of 8 stitches
> across the uterine wall. One wall at a time, unlike in Cho's
> procedure where you stick the anterior to the posterior wall.
> It can be done as a lone procedure or in association with any other
> (unless a hysterectomy has been done of course)
> Bernard
>
> rmodugno@aol.com a écrit :
>>
>> -----Original Message-----
>> From: Bernard Cristalli <bcrist@club-internet.fr>
>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>> Sent: Sat, 16 Feb 2008 1:27 am
>> Subject: Re: Placenta Accreta
>>
>> Be prepared for Uterine Wall Padding (1), efficient even in accreta
>> and
>> published long before B-Lynch and Cho's procedure. You only need #1
>> Vicryl with a large needle.
>> Bernard
>>
>> =========================================
>>
>> Bernard, could you describe the technic in more detail?
>>
>> Robert Modugno MD MBA FACOG
>> Sylva, NC
>>
>From nobody@medispecialty.com Sat Feb 16 13:08:45 2008
Received: (from nobody@localhost) by mail.obgyn.net (8.11.6/8.11.6/dsb-1.1) id m1GJ8jB07460 for OB-GYN-L@OBGYN.net; Sat, 16 Feb 2008 13:08:45 -0600 Message-Id: <200802161908.m1GJ8jB07460@mail.obgyn.net> Date: Sat, 16 Feb 2008 13:08:45 -0600 (CST) Errors-To: postmaster@medispecialty.com Reply-To: clairec1979@hotmail.com From: clairec1979@hotmail.com (claire (RM)) To: OB-GYN-L@OBGYN.net X-Original-Sender: @ 213.40.108.180 Subject: Episiotomy question

I've had a woman tell me that on her previous birth she had a 4th degree episiotomy (going for elective section this time). I assumed she meant she had an episiotomy which extended to 4th degree, however she stated that she heard the OB say that he was going to have to cut a 4th degree episiotomy.

Does this sound right? I can't imagine any circumstance where you'd actually have to cut through the anal sphincter, if any of you have had to do this could you explain the situation.

Thank you Claire (RM)





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