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type of incision?From: Henry Gregor (henrygregor@yahoo.com)Mon Jul 28 14:22:49 2008
Several times in the eighties and nineties I had the pleasure and privilege of attending a general OBGYN CME course sponsored by the St. Barnabas Medical Center, located in New Jersey, and held in NYC, with Dr. James Breen, department director, serving as course moderator...always a worthwhile course, with fine presentations and speakers. One of Dr. Breen's always popular slides showed a nice view, up to the liver and stomach, visualized through a transverse incision extended to the iliac crests...his throwaway line (He always had a lot of them, he's a great speaker and presenter!) was that at the end of the primary case they let the intern do an appendectomy..and the intern complained about exposure! Over the years I have remembered the value of a transverse incision, in morbidly obese patients, properly extended...first shown to me and other residents by a gyn onc attending...info available through Google scholar, no doubt, out of the Green and Gray journals. I don't think it pays to be rigid and dogmatic over what has to be done in what circumstances...lots of ways to skin a cat. Just an opinion and..well, y'all know the rest. H
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