Re: Peritoneal Closure

From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Jul 15 12:43:25 1997


rbraun@indyunix.iupui.edu wrote: >
> Closure of the peritoneum leaves the pedicles outside the peritoneal
> cavity so that if they bleed the blood will be visible. This is the good
> thing for closure. The bad side is as you say increaseing the incidence of
> dyspareunia.
>
> On Mon, 14 Jul 1997, Claudio Hermosilla Barrios wrote:
>
> > what is your opinion about peritoneal closure at vaginal Hysterectomy, I
> > think of the reperitonealization increase postoperative dyspareunia and
> > adhesion formation at the vaginal cuff.
--
I'm not sure peritoneal closure increases the risk of adhesion
formation. What I know is the risk of early post-op bleeding and abcess
formation for which peritoneal closure and vaginal cuff non closure are
essential. In abdominal procedures there's a long time I close the cuff
without any drain. I do exactly the opposite for vaginals.

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




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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 05:22:35 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.