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Abdominal incisions and sutures in obstetrics and gynaecology
Author(s) -
Raghavan Radhae,
Arya Pallavi,
Arya Prathibha,
China Susnata
Publication year - 2014
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/tog.12063
Subject(s) - cosmesis , medicine , surgery , closure (psychology) , laparotomy , risk analysis (engineering) , general surgery , economics , market economy
Key content Selection of any incision must be highly individualised. Numerous options of skin closure have become available and it is paramount to choose the method tailored to each patient and surgical procedure. The ideal wound closure device should be easy to use, painless, provide good cosmesis and be cost‐effective. This article reviews the traditional closure materials as well as some materials that have recently become available, such as staples and glue. Use of electrosurgery on the skin.Learning objectives To review the medical literature on this subject. To outline the anatomical and technical aspects that influence the choice of incisions and sutures. To assess the safety aspects, risks and the appropriate use of various closure techniques.Ethical issues Is it ethical to allow the selection of an incision dictated by patient choice to preserve cosmesis if it may compromise the surgical approach? Is it ethical to subject high‐risk women to laparotomy for diagnostic or therapeutic purposes when laparoscopic management has demonstrated benefits?