Re: Catgut (was: Tying vicryl)
From: Bernard Cristalli (bcrist@club-internet.fr)
Thu Apr 12 13:16:49 2001
Some double throw policy for me.
Catgut has been withdrawn here months ago (1 year I guess) because of BSE
and prion fear.
--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
Bernard.Cristalli@CliniquedelEssonne.fr
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8
> De : "Griffiths Malcolm (RC9) Luton & Dunstable Hospital TR"
> <Malcolm.Griffiths@ldh-tr.anglox.nhs.uk>
> Répondre à : ob-gyn-l@obgyn.net
> Date : Thu, 12 Apr 2001 02:27:16 -0500
> À : Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com>
> Objet : RE: Catgut (was: Tying vicryl)
>
> I am aware that many advise a double first throw. I don't usually bother.
> Occasionally I do, where it is a very think pedicle or I really want to
> "control" it with the first throw. I was always taught that vicryl allows
> you to tighten the first throw when pulling on the second throw. Not sure I
> believe it!
>
> BTW - over here we are in the process of catgut being withdrawn from use
> (anyone wants the info go to http://www.medical-devices.gov.uk/catgutsutures.htm
> <http://www.medical-devices.gov.uk/catgutsutures.htm> ). Do you all still
> have catgut? If not when and how/why was it withdrawn?
>
> -----Original Message-----
> From: RModugno@aol.com [mailto:RModugno@aol.com]
> Sent: 12 April 2001 04:55
> To: Multiple recipients of list OB-GYN-L
> Subject: Tying vicryl
>
> This subject may seem quite basic - but it's the basic stuff that sometimes
> yields the most lively discussion.
>
> I was taught to tie vicryl or dexon with the first throw as a double throw
> or
> surgical knot, or else it would slip.
>
> In my travels through different operations assisting different gyns &
> general
> surgeons, I have noticed that some tie this suture like they would be tying
> catgut - single throw , first throw. So cybergyns, which is the "correct"
> way?
>
> Robert Modugno MD MBA FACOG
> Marietta, GA
> ( Fond of hemostasis)
>
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