Stuart Winkler

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394 appearances 1 recordings 1 series first heard Jul 2026 last heard 23 Jul

Stuart Winkler’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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Thinking About Ob/Gyn · Episode 12.2 Cuff Dehiscence and Classic Papers · 23 Jul 2026 podcast

I know I've I have a partner who always repairs these with PDS standardly.

So I think you can use your judgment there.

Unless bowel is coming through, the peritoneum is actually usually intact in these cases, although it can be hard to see.

So you don't really need to incorporate that into the edge.

We do that when we close a vaginal cuff for bleeding purposes, but you could actually run the risk of tacking the underlying bowel to the cuff if you do that here.

So I would just sort of uh close the cuff proper.

And then if you close the cuff in a running fashion,

Yeah.

You may want to put a reinforcing suture to overlap that in case it comes continues to come done undone.

And then finally, you would can consider a cystoscopy if the dissection was complex or if the cuff is distorted.

We'd hate to accidentally put a stitch through the bladder and trade aid dehysants for a vescovaginal fistula down the road.

So that was a lot of tips for one four tips, sorry.

I know, I don't think we did.

I think they are they're both white males, so I don't think that we're not going to be able to do all the women.

They're both Austrians.

Mm-hmm.

Yeah.

So he

I think the the tip here would be to know when to do a laparoscopy.

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