C, the 10% and 40% are guidelines, not something etched in stone. I would venture to say that most people given the hess have more than a 10% cc. Again the Hess is about basing limb lengths as a proportion of the total small bowel length and limb length is customized to the patient based on surgeon's judgement of the patients history . That doesn't mean that the hess method has not been used if it isn't exactly a 10 / 40 split.
I keep harping on balance and firmly believe that too shortof a cc can cause nutritional issues. There is a happy balance between all three limbs and Clematis has a right to be upset that Esqerra gave her 60% of absorbing intestine when it should have been much closer to 50%. Personally I think Esqerra should have given her the proportions he gave Jim. I have no idea why he gave her such a long AL as compared to Jim when they both had same sbl.
Again, my cc was 125cm or roughly 17%. It would have been 72.5 cm had it been 10%. No way in the world would I have wanted that.
I have asked somebody we both know and respect greatly, about data of individual component limb length percentages. He was going to take a look and see what the data shows.onLy gut days that the 10/40 guide is actually closer to 15/35 My guess is that you Wii see a blog on this overall debate in the near future.
I think this is a great debate and carbjunkie has advocated very well for herself and that she will get a well balanced DS that works well for her.