Re: Non-closure

From: Bernard Cristalli (bclaure@club-internet.fr)
Sat Mar 8 10:57:50 1997


Mats Bergstrom wrote: >
> On Sat, 8 Mar 1997, Bernard Cristalli wrote:
>
> > We should abandon peritoneal closure ! Vicryl or not.
>
> I discuss this generally, not confined to C/S or transverse
> abdominal incision:
>
> The problem with the studies showing no advantage of closing
> the parietal peritoneum is that they are too small to account
> for rare complications. Recently, the fascia ruptured in a
> very obese patient a few days after a midline incision, done
> without closing the peritoneum.
--

I do agree. Every rule has it's exception. I think parietal peritoneum can be closed in midlines.

--
Bernard Cristalli MD CNGOF
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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