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Re: Vicryl at C SectionsFrom: Arthurfree@aol.comSat Mar 8 11:53:46 1997
I was trained to use Chromic to close the uterus but have shifted to Monocryl (monofilament, strong and lasts longer with minimal inflamm). I was surprised to see the extensive use of Vicryl, not only does it tend to saw tissue (as would any braided suture), but general surgical principles would say not to use a braided suture to traverse into a potentially contaminated space due to the higher potential for a braided suture "wicking" or picking up bugs. (No, I don't routinely broach the endometrium but sometimes it's unavoidable). I pretty consistently use taper needles for all but skin (including in the vagina). Uterus: 0 Monocryl, one or two layers Bladder flap: 000 Vicryl, occasionally Fascia: #1 PDS running (with three 0 Vicryl interrupteds because it's hard for me to trust just one knot no matter how many throws!) Skin: staples Arthur Freeland Warrensburg Missouri
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