Re: Chromic&Double Lacerations

From: Dr. Guillermo R. Suttora (grs2@hpn.sspn.sld.ar)
Mon May 27 16:31:19 1996


Dr. Malcolm Griffiths (U.K.) wrote (26/05) about the benefits of using chromic, and Dr. Terri Rosenbaum (U.S.) wrote (27/05) about the incoveniencies with Vicryl 4-0. I'm in coincidence with Dr. Griffiths, specifically when I recall the obstetric histerectomies I've done in my residence, in that years Dexon was been introduced in my country, and we use it to give a try, what a surprise when we saw how it cutted the uterus. And now ten years after and in other Hospital, I'm still using chromic in that surgery. And of course as we start to walk in the pathway of "cost/benefice", we are evaluating which are all the situations where chromic can be useful and cheaper, so I think is not still the time to give it up, although the new materials may have more strength and durability. So I have to say that in our Service experience we had found that when you use vaginal sutures that stay extra-mucous (excuse my language) its better to do them with chromic, but if you will place them with the knot and the thread intra-mucous the results are better with Vicryl or Dexon. Also would like to know if my colleagues around the world are in accordance with this or not (and why). =========================================================================== Dr. Guillermo R. Suttora e-mail: grs2@hpn.sspn.sld.ar Servicio de Ginecologia Tel/Fax (home): 54 - 99 - 480637 Hospital Provincial Neuquen Argentina "NEUQUEN...8-) argentinian trout country" ===========================================================================




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