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Letters.
Traditional Cerclage Removal
I am in complete agreement with Dr. Frank J. Craparo that it would be wise to stick with a more traditional approach of removing cerclage in a woman who has preterm premature rupture of membranes ("Cerclage in PPROM May Be Safe if No Infection," May 1, 2002, p. 9).
Dr. Lynn Montgomery's argument that there is theoretical benefit but no documented benefit to leaving the stitch in is nonsensical.
Cerclage itself has theoretical benefit but has been proven to be minimally efficacious.
The balance between the theoretical advantage of leaving the stitch in place versus the documented occurrence of increased risks for infection and cervical lacerations from retained suture with labor is clearly tilted toward making recommendations to our patients to have the suture removed.
Russel D. Jelsema, M.D.
Grand Rapids, Mich.
- The safety and effectiveness of the Le Fort I approach to removing central...
- Magazine article from: Ear, Nose and Throat Journal Colreavy, Michael P. Baker, Tim Campbell, Matthew Murphy, Michael Lyons, Bernard May 1, 2001 700+ words
...past decade. Yet we believe that the Le Fort I technique, which has been used for...seven patients whom we treated with a Le Fort I approach during a 3-year period for...we describe our experience with the Le Fort I osteotomy approach to removing lesions...
- Velopharyngeal function satisfactory after transpalatal Le Fort I osteotomy.
- Newspaper article from: Medical Devices & Surgical Technology Week February 9, 2003 700+ words
...sometimes a complication of a standard Le Fort I maxillary advancement in cleft palate patients. The transpalatal Le Fort I osteotomy has been suggested as an...hypoplasia underwent a transpalatal Le Fort I osteotomy. All patients had a simultaneous...
- Sacramental realism; Gertrud von le Fort and German Catholic literature in the...
- Magazine article from: Reference & Research Book News August 1, 2007 700+ words
...9781904350361 Sacramental realism; Gertrud von le Fort and German Catholic literature in the...PT405 Taking the fiction and poetry of le Fort (187-1971) as a representative example...theological term sacramental realism to refer to le Fort's literary aesthetic and the manner...
- Recent publications.(The Influence of Pre-Raphaelitism on Fin-de-Siecle Italy:...
- Magazine article from: The Modern Language Review January 1, 2007 700+ words
...Tomko, Sacramental Realism: Gertrud von le Fort and German Catholic Literature in the...conversion to Catholicism in 1926, Gertrud von le Fort (1876-1971) developed literary forms...to her sacramental vision of reality. Le Fort's contribution to German literature...
- Le fort de Bammako.
- Picture from: NYPL Digital Gallery unknown January 1, 1934 700+ words
- Robert-le-Fort.
- Picture from: NYPL Digital Gallery Guilleminot--Artist January 1, 1934 700+ words
- Les troupes fédérales évacuant le fort Moultrie, après avoir détruit le...
- Picture from: NYPL Digital Gallery M. W. S.--Artist January 1, 1934 700+ words
- LAKE DEATH 'A MYSTERY'.
- Newspaper article from: Birmingham Evening Mail (England) McVEY, CLARE March 11, 1999 700+ words
...his dogs. Det Con Justin Le Fort, who investigated the death...called the police. Det Con Le Fort said an inspection of the...her own life. Pathologist Dr Rebecca Harrison told the...benign tumour on her brain. Dr Harrison said this, together...
