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Re: Vaginal laceration during C-sectionFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Tue Oct 28 21:24:59 1997
At Tue, 28 Oct 1997, Ronald Helm wrote: > >At 08:19 PM 10/28/97 -0600, Jeff Ruderman, M.D. wrote: >>Has anyone had or heard of a cervical extension of a low transverse >>incision during a Cesarian delivery, which extended into the patient's >>vagina? >I always caution residents when doing a C-section, during the second stage >of labor, to make sure that the incision is high enough to be in the lower >uterine segment, because I have seen the entire low (very low) transverse >incision made entirely below the cervix, i.e. a vaginal Cesarean. Ron I actually did one of those in residency, and coined the term, "V-section." BTW, easy to sew up, no worry about uterine ruputer with VBAC (well, VBAV!). Since that time, I, too, stay high when doing sections once completely dilated. However, since Ron and I are men of steel (just an expression), we usually get them out with forceps once fully dilated. :)
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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