Re: OB didelphyic/bicornuate and breech --> type of incision?
From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au)
Mon Jul 28 22:56:49 2008
The reason for suggesting the transverse upper segment incision is that
it heals more strongly so ultimately is less likely to rupture in a
future pregnancy. I put the incision as close to the lower segment as
is possible, but still allowing enough room for the fetal head to get
through.
Steve Raymond
Ph (03)62227898
Cell 0438372395
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain
Ramirez
Sent: Tuesday, 29 July 2008 10:12 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
Saludos Steve - I feel much, much more comfortable with a vertical
incision in those cases - never a regret (Gracias a Dios) exactly at
what level do you make the incision?
Ef
At Tue, 29 Jul 2008, Raymond Stephen wrote:
>
>It should always be kept in mind that if you have to make an upper
>segment incision - as you might in the cases that you cite (extreme
>prematurity with malpresentation or even with a cephalic), that
incision
>should be transverse just as it would be in the lower segment. The
>question of whether the abdominal incision should be transverse or
>midline has been argued at length and it is clear to me, if not to
>others, that there are almost no indications for a midline in
>obstetrics.
>
>Steve Raymond
>Ph (03)62227898
>Cell 0438372395
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
Efrain
>Ramirez
>Sent: Tuesday, 29 July 2008 6:02 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
>
>Very premature fetus in transverse lie or breech in my hands.. even in
>vertex with a 26 weeker and PROM...
>
>Ef
>
>>At Fri, 25 Jul 2008, Raymond Stephen wrote:
>>
>>The transverse line of course. There is almost no indication in
>>obstetrics for a vertical incision either in abdomen or uterus, in my
>>experience.
>>
>>Steve Raymond
>>Ph (03)62227898
>>Cell 0438372395
>>
>>________________________________
>
>>________________________________
>>________________________________
>
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