Re: One layer uterine closure
From: Richard Chudaoff (rchudacoff@mylinuxisp.com)
Tue Sep 5 19:15:10 2006
Less than Vicryl, and about the same length as Chromic, if my memory serves
me well
Richard Chudacoff, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
Siegel, M.D.
Sent: Tuesday, September 05, 2006 6:50 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: One layer uterine closure
Robert does.
Doesn't it stay around longer than needed?
Garry
At Tue, 5 Sep 2006, Richard Chudaoff wrote:
>
>Does anyone use Monocryl for hysterotomy closure? Personally I like this
>suture the best. It doesn't tear like Vicryl.
>
>Richard Chudacoff, MD, FACOG
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron
>Sent: Tuesday, September 05, 2006 3:59 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: One layer uterine closure
>
>Well, I don't know about you, but I quit using Chromic for episiotomies/Ob
>lacerations and all abdominal surgeries ~20 years ago, and I haven't
>regretted it. Another good reason for using Vicryl is the availability of
>blunt tip needles for C/S - I'm not aware that is even available for
>Chromic. I do use 0 Plain for Pomeroy TLs, but I rarely do Pomeroys since
I
>began using Filshie Clips.
>
>Ronald E. Ainsworth, MD, FACOG
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Tuesday, September 05, 2006 1:16 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: One layer uterine closure
>
>And on which study of Cesarean incision healing is this dictum based?
>I'm sorry but this may violate the "If it ain't broke, don't fix it"
>aphorism.
>
>Art
>
>At Tue, 5 Sep 2006, ainsron wrote:
>>
>>Thanks for the reference in Telinde. I have one colleague who still uses
>>chromic for episiotomies and C/S. I'll send him a copy of the page.
>>
>>Ronald E. Ainsworth, MD, FACOG
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
Atkinson,
>>Samuel M
>>Sent: Tuesday, September 05, 2006 7:53 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: One layer uterine closure
>>
>>We have previously been thru this subject. According to Christopher's
>>Text of Surgery, there is no place for the use of catgut in the human.
>>This is because of its' enormous inflammatory response. Plain catgut is
>>totally absorbed in 70 days at the expense of the most significant
>>inflammatory reaction. This is why we are foolish to use plain gut for
>>reperitonealization. Chromic has essentially the same absorption pattern
>>as polyglycolic (read vicryl/monocryl) but with a significant tissue
>>reaction. Tensile strength, however lasts longer.
>>To again quote the latest edition of Telinde, Seventh Edition. p.232,
>>"...Catgut should not be routinely used in gynecologic surgery. Indeed,
>>there remains little indication for the use of catgut in any gynecologic
>>procedure."
>>sAm
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>Raymond Stephen
>>Sent: Monday, September 04, 2006 7:26 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: One layer uterine closure
>>
>>1. Catgut is absorbed faster - often an advantage.
>>2. Catgut is somewhat stiffer so it stands up when you are trying to
>>find an end to tie.
>>3. Catgut is somewhat smoother than Vicryl
>>
>>These are reasons to use catgut. That doesn't mean I don't like Vicryl
>>but it has its place.
>>
>>Steve
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr
>>Eberhard Lisse
>>Sent: Monday, 4 September 2006 2:23 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: One layer uterine closure
>>
>>Art,
>>
>>I don|t know. But what I know, is that the US government was quite ready
>>to ban blood donors if they just set foot down in Europe.
>>
>>What I also know is that (bio-)chemistry doesn't lie.
>>
>>And, when paying attention a bit, I usually don't tear it through the
>>muscle.
>>
>>So, why use catgut (and/or chromic)?
>>
>>el
>>
>>--
>>Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
>>el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
>>PO Box 8421 \ / Please send DNS/NA-NiC related e-mail
>>Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na
>>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
