Re[4]: [ORT-L] ORIF and suprapubic tube?


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Re[4]: [ORT-L] ORIF and suprapubic tube?

alex61 at gmail
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Jun 2, 2007, 2:21 AM

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Re[4]: [ORT-L] ORIF and suprapubic tube?	Can't Post

Dear David

Saturday, June 2, 2007 8:35:50 AM David wrote:

ĺňţ for your expalanation.

> bag. It is then scrubbed and prepped and draped into the field. We
> then do an ilioinguinal or Pfannenstiel depending on the fracture.

Got it.

> transferred from another hospital for definitive care for their
> pelvic fractures.š Often they have an emergent ex-lap by the general
> surgeons and a suprapubic catheter placed by the urologist but don't
> have an orthopaedist to fix the pelvis.š

Our most typical scenario.

> When we do our approach, we inspect the bladder and if it needs to
> be repaired, the urologist does this.

The difference is that we don't have urologists avalaible. And more
often the tube is in place because of urethra injury.

>not needed and a foley can be placed.š if there is a urethral repair
>that is needed, this is done at another time by the urologist

This case is most actual - in case of further delayed urethral repair
the "old" SP tube also should be removed and new one incerted through
the intact skin after the ORIF? THX again.

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Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

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