|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: >Closure at C SectionsFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Tue Mar 11 11:15:13 1997
At 10:13 11/03/97 -0600, Doug wrote: >> >>>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 > I tend to agree. The general perception is that fat layers need a 'fat stitch', which is probably wrong. Thin patients are more likely to need a (scarpa's) fascial stitch but whether that reduces the bulge Doug is talking about, I am not really sure. My guess is that post-op, fat can recede (thin) more below a transverse scar than above it, regardless of what you do. Jason ************************************************ Jason Gardosi OB/GYN, Queen's Medical Centre, Nottingham, U.K. -- http://www.nottingham.ac.uk/~mgzobgyn/PRAM
|
|
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: Wed Dec 2 05:19:07 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.