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Chromic sutures ( was Double laceration) From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Sun May 26 01:15:47 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: CNMPAT@aol.com: "Cochrane Database" Previous message: DR ROSA M GONZALEZ: "PP BTL Anesthesia" In reply to: rossmann@MEM.po.com: "Re: Double laceration" In message <9605251921.AA01038@mercury>, rossmann@MEM.po.com writes > >Is there still any justification for using chromic catgut in ob-gyn now >when we have Vicryl and other synthetic sutures? I'm not aware that there is compelling evidence that Vicryl/Dexon are superior to Chromic in *all* situations. I am aware that there are fewer vault granulations and fewer abdo dehiscences if you avoid Chromic in the vault and rectus sheath, but in some situations it matters very little and cost then may be a factor. Occasionally there are situations when I prefer Chromic: bleeding friable & oedematous uteri in various circumstances (inc. cornual ectopic); classical CS; obstetric hysterectomy. In all of these the "give" and resilience of Chromic is useful, whereas Vicryl/Dexon don't have that give and can cut through. -- Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) 01525-222849 (home) Fax: 01582-497424 email: Malcolm@mgriff22.demon.co.uk "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) Next message: CNMPAT@aol.com: "Cochrane Database" Previous message: DR ROSA M GONZALEZ: "PP BTL Anesthesia" In reply to: rossmann@MEM.po.com: "Re: Double laceration"

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