=?ISO-8859-9?Q?Re:_Yanýt:_peritoneum?In-Reply-To: <6378.55172.qm@web33204.mail.mud.yahoo.com>

From: R. Daniel Braun (rd.braun@gmail.com)
Thu Mar 6 16:03:36 2008


This is one of those issues that is probably going to turn out no difference in the end. When you have equal numbers of articles saying opposite things then the answer is "Max Nix"

Dan

On Thu, Mar 6, 2008 at 3:18 PM, Dr. Bülent Potur <bpotur@yahoo.com> wrote:

> Your assistant is right. The last evidence based article recommends to
> close it. If you do not, it is said that there is the risk of thick
> adhesions between abdominal contents and the fascia. So I started closing
> it again for the last few years.
> Regards,
>
> Bulent Potur M.D. Obgyn
> Kirikkale TURKEY
>
> *FRANCES WREN <fwren@shaw.ca>* wrote:
>
> for years I neatly sewed up the parietal peritoneum at C/S (25 yrs+)
> then within the last 1-2 years started , as it seemed the literature had
> been advocating for some time , to leave it open and just sew up the fascia.
> this am I did a C/S ..I am doing a locum, and my assistant said he'd heard
> that the'y revised the opinion of leaving the peritoneum open and it was
> now...again...felt better to close it ..in terms of adhesion formation.
> certainly looks neater at the time when one closes it....but quicker to
> not (besides I am now used to NOT closing it)
>
> I have not read anything recently saying to close it ..
> any evidence re better to close or leave open????
> opinions please.
>
> frances wrenMD FRCS.
>
> Istenmeyen postadan biktiniz mi? Istenmeyen postadan en iyi korunma Yahoo!
> Posta'da
>

--
R. Daniel Braun, MD  FACOG(L)  ABMP  CMTh
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

--
R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





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