-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Single Layer vs Double Layer Uterine Closure From: DoctorJoe@aol.com Thu Nov 6 05:13:55 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Braun, R. Daniel: "Re: Single Layer vs Double Layer Uterine Closure" In a message dated 11/6/03 05:33:23, rbraun@iupui.edu writes: > Chromic even less so. Isn't zero vicryl and zero monocryl of about equal > strength to #1 chromic??? Why leave that much suture material around for a > longer time if it doesn't add any strength??? > True. My routine was 0 Vicryl or Dexon, single layer, running-locking for the uterus - through and through, no attempt to isolate the endometrium. Then I tack all the layers of stuff together with 00 Vicryl or Dexon, simple running (I know THAT'S controversial - just leave'm all open, right?). Then close abdominal fascia with 0 again, simple running. I like the idea of Dexon or Vicryl, as opposed to Chromic, because of less inflammation and it stays around a bit longer. Never got to use much Monocryl, so I don't know how that "feels" as time goes by and the wound heals. I was VERY impressed, years ago, when we had a post-hysterectomy prophylaxis study, at the major difference in vaginal cuffs which were sutured with Chromic on the one hand, and Vicryl or Dexon on the other. The ladies with Chromic suture (which was 'standard' use at LSU for years) had copious discharge and inflamed cuffs, even some pain. On the other hand, the Dexon/Vicryl patients could have meatballs of suture up there (probably cases done by lower down residents), and absolutely no discomfort or discharge. It was dramatic and directed my thinking from then on. Joe P. P.S. We also did an episiotomy study on the difference and found the same results. I think we talked about that a few years ago here. Next message: Richard Chudacoff, MD: "Re: Single Layer vs Double Layer Uterine Closure" Previous message: Braun, R. Daniel: "Re: Single Layer vs Double Layer Uterine Closure"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:36:18 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.