-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: >Closure at C Sections From: don edelson (mmi2@juno.com) Tue Mar 11 09:25:48 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ENDODOK@aol.com: "Re: vulvodynia and laser Rx" Previous message: Richard Chudacoff, MD: ">Closure at C Sections" Maybe in reply to: Richard Chudacoff, MD: ">Closure at C Sections" Next in thread: Jason Gardosi: "Re: >Closure at C Sections" On Tue, 11 Mar 1997 10:13:38 -0600 richardc@bcm.tmc.edu (Richard Chudacoff, MD) writes: > >> >>Another CLOSURE issue that I'm interested in is the tendency for the >>Pfannenstiel incision to retract, creating an indentation that allows >>the fat in the cephalad portion of the incision to hang over the >lower >>portion, creating an unsightly little bulge. Prevention of this >>phenomenon is the primary reason that I reapproximate Scarpa's fascia >>with interrupted 4-0 Monocryl or Vicryl. >> >>How do other's deal with this problem? Do you think that closing >this >>fascial layer prevents the problem? I have a few patient's who >complain >>bitterly about this effect in cases where I was did not take the time >to >>close Scarpa's, although in many cases of retrospectrive operative >>report review, I never mention whether or not I actually closed the >>layer. >> > >I do this with my thin patients, as I have found that the sub-Q will >adhere >to the fascia, creating a depression at the incision site. The obese >patients tend to fall together, although, unincumbered by data, I >think >closing this space may decrease risk of seromas. > >Rick > >-- >Richard Chudacoff, MD >Assistant Professor, OB/GYN >Baylor College of Medicine > >Practice Medical Director >BaylorMedCare >1601 Main St., STE 505 >Richmond, TX 77469 >tel 281-344-0277 >fax 281-344-0288 > >Advisory Board-OBGYN.net >http://www.obgyn.net/board/chudacoff.htm > >"I stand by all the misstatements that I've made." > > -Former U.S. Vice-President Dan Quayle > Next message: ENDODOK@aol.com: "Re: vulvodynia and laser Rx" Previous message: Richard Chudacoff, MD: ">Closure at C Sections" Maybe in reply to: Richard Chudacoff, MD: ">Closure at C Sections" Next in thread: Jason Gardosi: "Re: >Closure at C Sections"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:21:25 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.