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Double-layer cesarean closures may be safer: Rupture more likely with one-layer closures. (Obstetrics).
KAUAI, HAWAII -- Single-layer closures after low transverse cesarean sections may leave women five times more susceptible to uterine rupture in a subsequent trial of labor compared with double-layer closures, according to results of a recent study.
That finding has Dr. Michael Socol concerned.
Obstetricians in recent years have moved away from two-layer closures after C-section because one-layer closures seemed sufficient and shortened operative time. The alarming study results should prompt further investigation of the safety of this approach, Dr. Socol said at a conference on obstetrics, gynecology, perinatal medicine, neonatology, and the law sponsored by Boston University.
"One study should not change our management, but if other data support" its conclusions, physicians may want to reevaluate their choice of closure and the risks of attempting vaginal birth after C-section in women with one-layer closures, said Dr. Socol, head of ...
- Single-layer closure may raise rupture risk later.
- Magazine article from: OB GYN News McNamara, Damian March 15, 2006 700+ words
MIAMI BEACH -- Single-layer closure from a prior cesarean delivery...labor, compared with double-layer closure, Dr. Martine Goyet said at...maternity wards. "Single-layer closure was the only significant negative...
- From Placental Stem Cells to C-Section Safety: Groundbreaking Pregnancy...
- Press release article from: PR Newswire January 19, 2006 700+ words
...leading causes of maternal and fetal illness and death * Research revealing that two-layer closures during cesarean sections are safer than the one-layer closures (conventional practice) * An update on FASTER, the world's largest comparative...
- Research findings from Cornell University update understanding of plastic and...
- Newspaper article from: Medical Devices & Surgical Technology Week September 6, 2009 700+ words
...technique. The absorbable INSORB dermal stapler is hypothesized to be faster and more cost effective than sutures for dermal layer closures and provides a safer and more consistent result," scientists writing in the journal Plastic and Reconstructive Surgery...
- Rupture risk up with single closure.(Clinical Capsules)(uterine rupture)
- Magazine article from: Family Practice News April 15, 2006 700+ words
Single-layer closure from a prior cesarean delivery increases...of labor, compared with double-layer closure, Dr. Martine Goyet said at the...nine maternity wards. "Single-layer closure was the only significant negative...
- Myomectomy: tips for reducing adhesions.(Incisions, Suteres)
- Magazine article from: OB GYN News Boschert, Sherry August 1, 2003 700+ words
...rather than a single-layer technique. These results also suggest that a double-layer closure would provide a stronger scar than a single-layer closure after myomectomy. Sutures in the uterine serosa can cause ischemia and increase adhesion...
- Size and repair complexity are keys to wound coding.
- Newspaper article from: Wound Care July 1, 1997 700+ words
...first. Often after excision of lesions, a residual defect may require layer closure. Primary closure is included in the excision of lesion codes, but when layer closure is required, it is appropriate to report a code from the range of 12031...
- Special Feature: Quick Hits.
- Magazine article from: OB/GYN Clinical Alert March 1, 2004 700+ words
...delivery. III. More Information Regarding Single vs Double Layer Closure of the Uterus During Cesarean Section In a previous special...2002;186[6]:1326-1330) suggested that single layer closure was associated with a higher rate of uterine rupture in a...
- Traumatic Bladder Rupture in a Paratrooper
- Magazine article from: Military Medicine Ford, David; Palma, James; Robinson, John June 1, 2009 700+ words
...rupture. The patient is taken to the operating room and a 3-layer closure with omental buttressing is carried out. INTRODUCTION Traumatic...patient underwent operative repair of the bladder rupture via 3 layer closure. CASE REPORT A 29-year-old male Army paratrooper was...
Source: HighBeam Research, Double-layer cesarean closures may be safer: Rupture more likely with...