Re: Catgut
From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Aug 9 01:16:52 2005
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In a Pomeroy There's a thread on each side and the tubes are apart.
BC
Raymond Stephen a écrit :
> 1. Vicryl Rapide doesn't dissolve as quickly as /plain/ catgut - about
> as quickly as /chromic/ catgut - i.e. 7 - 10 days.
> 2. "Re permeabilisation" or recanalisation results from the ends of
> the tubes being held together. If they fall apart when the ligature
> dissolves the risk is considerably lessened - and though I can't quote
> the papers, they are there in the literature.
>
> Please EBM in the 21st century.
>
> Steve Raymond
>
> ------------------------------------------------------------------------
> *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of
> ------------------------------------------------------------------------
> *Bernard Cristalli
> ------------------------------------------------------------------------
> *Sent:* Tuesday, 9 August 2005 3:19 AM
> *To:* Multiple recipients of list OB-GYN-L
> *Subject:* Re: Catgut
>
> Then there's nothing left on the tubes and it can re permeabilize.
> Hulka or Filshie clips, Yoon bands are permanent.
> BC
>
> Atkinson, Samuel M a écrit :
>
>> Vicryl Rapide dissolves as quickly as plain catgut and does not have
>> its' inflammatory characteristics
>> Sam
>>
>> ------------------------------------------------------------------------
>> *From:* ob-gyn-l@obgyn.net on behalf of Bernard Cristalli
>> ------------------------------------------------------------------------
>> *Sent:* Mon 8/8/2005 12:07 PM
>> ------------------------------------------------------------------------
>> *To:* Multiple recipients of list OB-GYN-L
>> *Subject:* Re: Catgut
>>
>> I understand the high rate of failure.
>> BC
>>
>> Charlie Chambers a écrit :
>>
>>> Yep, plain gut for Pomeroy's. Any modification has merely decreased
>>> the efficacy, such as other suture materials, cautery of the cut
>>> ends, etc.
>>