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Re: sutures at urethropexyFrom: Richard Kaplan (mrkaplan@nr.infi.net)Thu Jan 30 21:36:29 1997
>Garry E. Siegel wrote: >> >> What suture do you (oops--ya'll) use when performing open abdominal >> retropubic urethropexies such as MMKs and Burchs? >> > >Burch > >> >> Permanent or absorbable or delayed absorbable? >> > >0 Prolene (permanent monofilament) > >> >> Do you try to get the periurethral tissue approximated to Cooper's ligament >> or the bone, or do you leave a suture bridge (maybe depending on whether >> permanent or absorbable suture is used)? >> > >Suture bridge to Cooper's ligament usually, but sometimes the >periurethral tissue comes up to Cooper's ligament (even leaving a 1 cm >gap between the urethra and the pubis--I use the Poole suction as my 1 >cm measuring stick) > >-- >Gail Waldby, MD >Huron Clinic SD I use the same suture and approach as Dr. Waldby. Ricky Kaplan, M.D. Pvt. Practice, Ob/Gyn Greensboro, N.C.
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