Re: GASP Chromic for epis's

From: rbraun@indyunix.iupui.edu
Mon Jun 30 16:55:59 1997


Dr. Joe "The Man" You were the second author on one of Bob's references. What suture do you use after the paper you wrote?

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R. Daniel Braun, MD FACOG                "Money will buy you a fine dog
Clinical Professor  OB/GYN                but only love will make it
Indiana University School of Medicine     wag its tail"
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On Sat, 28 Jun 1997 tcab1@idt.net wrote:

> > >Here's the results of a quick search. Of these, I have read the Liston and the > >Ketcham, and they have been the ones I've been relying on in this thread. > > Here's my problem, and I think it reflects the experience of many other > listers as well. These studies indicate that the advantages of Vicryl or > Dexon over chromic should be readily apparent, and suggest that if only we > try it we will be quickly won over. That has not happened. I *have* tried > Vicryl and I do use it for portions of repairs of third and fourth degrees, > and at various times I have had opportunity to follow up patients of > colleagues who use it, but for the uncomplicated repair I have seen no > difference and see nothing like the reported problems with chromic. Since > I am apparently not alone in this experience I conclude that there are some > confounding variables that have yet to be addressed. I am more than > willing to change and do things differently and have done so many times > over the years, but I don't feel compelled to change based on a "very good" > RCT whose results I am unable to reproduce. > > Tim Brown > Private Practice > Long Island, New York > > "Life is not breath, but action . . . " Jean Jacques Rousseau >





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