The wound is closed with a single absorbable suture or with adhesive strips . The final cast is applied with the foot in maximum dorsiflexion, and the foot is held in the cast for 2 3 weeks.
22.
But Dr . Griffith-Cima, collaborating with her husband, Dr . Michael J . Cima, and Dr . Emanuel Sachs, both engineering professors at MIT, adapted the process to work with an implantable, biodegradable polyester, the same type that is used for absorbable sutures.
23.
After the placenta is delivered, the uterus is massaged to stimulate contraction and is closed with a running locking absorbable suture and the abdomen is then closed; alternatively, the wound may be temporarily packed with sterile gauze, with definitive closure delayed until specialist obstetric help arrives or until the patient is fit for transport to a formal operating theatre.
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