Re: OB didelphyic/bicornuate and breech --> type of incision?
From: verner nellsch (vnellsch@eastex.net)
Mon Jul 28 06:10:06 2008
you spent" much of your time" fixing burst abdomens. i've told you a million
times to never exaggerate.
i use a mix of transverse and midline incisions, with good success. i think
that a flexible approach to the abdomen is the best.
you do not. oh,well. vnellsch
>----- Original Message -----
From: "Raymond Stephen" <Stephen.Raymond@dhhs.tas.gov.au>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
Sent: Sunday, July 27, 2008 10:18 PM
Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
> If you really were "free to use incisions that work the best for my
> patient, my o.r. crew, and myself" then you would have to acknowledge
> that there may be a conflict between what is best for you patient and
> what is best for you. As I said before a midline in an obese patient is
> definitely not best for her, in obstetrics. I spent much of my time as
> a senior registrar fixing burst abdomens after my consultant had done
> his "best for him" midline incisions.
>
> Steve Raymond
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of verner
> nellsch
> Sent: Monday, 28 July 2008 12:38 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
>
> oh, you who know so much. miracle max, the princess bride.
>
> concrete thinking, absolute rigidity, dictatorship of the dogmatic. i
> feel
> free to use incisions that work the best for my patient, my o.r. crew,
> and
> myself. you, on the other hand, have to make everything fit into your
> narrow, transverse slot.
>
> what do you want me to order at the bar for you? i'll be waiting. for
> awhile, if you are doing a cesarean on a 340 pound with a transverse
> incision. vnellsch
>> ----- Original Message -----
> From: "Dr Eberhard W Lisse" <el@lisse.na>
> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
> Sent: Sunday, July 27, 2008 8:39 AM
> Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
>
>> For Gyn, the only indication for a vertical incision is (a large)
> ovarian
>> carcinoma.
>> In particular if you can do the diaphragmatic sampling. For debulking
> not
>> always.
>>
>> For Obs, there is no indication.
>>
>> On 27 Jul 2008, at 14:28 , verner nellsch wrote:
>>
>>> we are talking about incisions for ob/gyn generally, not just
> cesarean.
>>> vnellsch
>>>
>>> i have met chuck norris. he is a little short guy, and very soft
> spoken.
>>> we collect the same painter, teddy draper.
>>>> ----- Original Message -----
>>> From: DoctorJoe@aol.com
>>> To: Multiple recipients of list OB-GYN-L
>>> Sent: Saturday, July 26, 2008 10:22 PM
>>> Subject: Re: OB didelphyic/bicornuate and breech --> type of
> incision?
>>>
>>> In a message dated 7/26/08 9:45:25 PM, vnellsch@eastex.net writes:
>>>
>>> hmmm. looks more like anecdotal based on this point. try telinde
> for
>>> something to base your thinking on. i'll bet the next time you do
> an
>>> ill
>>> advised transverse incision, these discussions will be in your
> brain
>>> like
>>> ground glass.
>>>
>>> Two points:
>>>
>>> 1) Cochrane does not have much on the comparison of vertical versus
>>> transverse incisions at C/S. There is a comparison of Pfannenstiel
>>> versus Joel-Cohen. But that's not particularly what we're talking
> about.
>>>
>>> 2) TeLinde, as far as I know, is a GYN text. Does it have a section
> on
>>> C/S incisions? I don't have a recent copy.
>>>
>>> Joe P.
>>>
>>> Chuck Norris speaks in all caps.
>>>
>>
>
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