Re: One layer uterine closure
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Sep 5 20:43:59 2006
I just looked at info on Monocryl and Coated Vicryl on Ethicon's site.
Monocryl is absorbed in 90 to 119 days, and has 30 to 40% of its tensile
strength at 2 weeks.
Coated Vicry is absorbed in 56 to 70 days, and has75% of its tensile
strength at 2 weeks, and 25% at 4 weeks.
I could not find similar data for Chromic, and it is an Ethicon product.
Garry
At Wed, 6 Sep 2006, Raymond Stephen wrote:
>
>Not wishing to start a war, but I'm afraid Telinde is wrong. Chromic
>catgut loses its strength inside ten days as against Vicryl which has a
>minimum of three weeks and often up to six. The increased tissue
>reaction is however, correct. Christopher is also wrong to say it takes
>70 days to absorb plain catgut. It is unusual to see it persist beyond
>7 days!
>
>Steve
>
>-----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
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
