Re: One layer uterine closure

From: Dr Eberhard Lisse (el@lisse.NA)
Tue Sep 5 23:26:55 2006


Vindication :-))-O

el

on 9/5/06 4:52 PM Atkinson, Samuel M said the following: > 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."

--
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




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