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Re: Maxon suture From: Paul Prior MD (pprior@earthlink.net) Wed Jul 26 18:25:19 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: K Dew: "Re: Maxon suture" Previous message: H.Fehmi Yazıcıoğlu: "Re: Two interesting cases in one day, your opinions please" In reply to: Diane Petersen: "Maxon suture" Next in thread: K Dew: "Re: Maxon suture" Reply: K Dew: "Re: Maxon suture" On Wed, 26 Jul 2000 16:23:27 -0500, Diane Petersen <peter261@gold.tc.umn.edu> wrote: >My partner recently did a TAH/BSO on a patient that presented to the ER >with acute abdominal pain. Degenerating leiomyomata suspected pre-op >and confirmed at histologic examination. Patient also diagnosed at >admission with diabetes mellitus. At 5 days post-op when removing the >skin staples, complete dehiscence was diagnosed. During the subsequent >repair, the Maxon suture that had been used to close the fascia was >found to be pieces (like it just immediately started to degrade and fall >apart). Does anyone have a similar experience with Maxon suture? Maxon is an excellent suture material very similar in degradation curve to PDS-II and should never had degraded that fast. It however, is very susceptible to damage as are most monofilament synthetics. A possibility would be that someone grasped part of the suture with a forceps or clamp which could definitely have caused a fracture and subsequent failure. One should never touch any part of the suture that will be left in situ with an instrument other than the human hand. If the operating surgeon is sure that such an occurrence did not happen, the manufacturer should be notified. I used maxon extensively in residency for gyn onco cases and never saw a single failure and the strength profile is far beyond what you describe. I use PDS-II now because of local availability. -- Paul Prior MD Get rebates on online purchases - up to 25% cash back. Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, petstore Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many more. so spam away... try: http://www.ebates.com/index.jhtml?referrer=pprior Next message: K Dew: "Re: Maxon suture" Previous message: H.Fehmi Yazıcıoğlu: "Re: Two interesting cases in one day, your opinions please" In reply to: Diane Petersen: "Maxon suture" Next in thread: K Dew: "Re: Maxon suture" Reply: K Dew: "Re: Maxon suture"

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