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Re: Vicryl v. Chromic (used to be episiotomy) From: art fougner, md (evsono@pipeline.com) Tue Jan 11 15:26:27 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kaycnm@aol.com: "Re: FSH in the pillfree week" Previous message: Malcolm Griffiths: "Re: Vicryl v. Chromic (used to be episiotomy)" perhaps we can get an evidenced - based evaluation of incisional closure now? Art At Tue, 11 Jan 2000, Malcolm Griffiths wrote: > >I use black silk mattress sutures for transverse incisions. I mostly use >vaginal incisions for gynae surgery and accordingly very few vertical abdo >incisions at all. If I am forced into a vertical incision my closure depends >on nature of case and improtance of cosmetic considerations. In elderly >patioent with malignant disease I use a really lazy stitch black silk >continuous mattress! In younger patient with benign disease I use plain or >chromic catgut to fat and then subcuticular prolene. > >-- >Malcolm GRIFFITHS, Ob/Gyn E-mail obsdoc@doctors.org.uk >Dept of Obs & Gynae +44(0)1582-497533 (Sec) 21, School >Lane, >Luton & Dunstable Hospital, +44(0)1582-497376 (Fax/me) Eaton Bray, >Lewsey Road, +44(0)1525-222849 (Home) >DUNSTABLE, >LUTON, LU4 0DZ.. +44(0)1525-222643 (Fax) >Beds., LU6 2DT.. >>----- Original Message ----- >From: <croure@ibm.net> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> >Sent: Monday, January 10, 2000 11:38 PM >Subject: Re: Vicryl v. Chromic (used to be episiotomy) > >> At Mon, 10 Jan 2000, Malcolm Griffiths wrote: >> > >> >This is where I cause total amazement and admit that I close skin and >> >subscutaneous fat with interrupted black silk mattress sutures! >> > >> >I tend to close the whole incision with only 4 or 5 stiches. >> >> How interesting, is this for transverse and vertical incicions both? >> This are removable skin sutures and should cause as little reaction as >> skin clips. >> -- art fougner, md and what am i gonna do with all this food, bottled water, and gasoline now that armageddon was called off for lack of interest? Next message: Kaycnm@aol.com: "Re: FSH in the pillfree week" Previous message: Malcolm Griffiths: "Re: Vicryl v. Chromic (used to be episiotomy)"

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