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Re: Instilling milk in bladderFrom: dahmd@gate.netThu Jul 25 13:19:16 1996
In article Ingemar Joelsson <injo@scicom.se> writes:
>Hello, I use sterile milk as the "agent of choice" for determining if the bladder was damaged during c/section or gyn surgery. It can be infused via an asepto bulb syringe into the opening of the foley catheter, or via a red rubber catheter. During c/sections, I have also seen it placed through the dome of the bladder with a 30cc syringe and an 18 guage needle. It takes about 1 minute to put a few hundred cc in. If it leaks, the area can be repaired, then more milk can be infused to check for other leaks or to insure correct repair. Our labor and delivery nurses keep a few bottles handy "just in case." I prefer milk over dyed solutions because they stain the tissues and can make locating the rent difficult. To my knowledge, I have never seen a complication from using sterile milk. It is mentioned in Gynecologic and Obstetric Surgery (Nichols, 1993), Te Linde's Operative Gynecology (Thompson and Rock, 7th ed, 1992) and The Difficult Vaginal Hysterectomy (Hoffman and Spellacy, 1995). Thanks, Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando,FL
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