Is Vicryl Rapide a better suture than Dexon?
... polyglycolic acid derivatives (Vicryl and Dexon) was associated with about 40% reduction in short-term pain and need for analgesia, but need for suture removal was a major drawback (Grant, 1989b;Kettle and Johanson, 2000). Vicryl rapide is been studied in this respect (McElhinney et al., 2000), being a more rapidly absorbed suture.
Is Vicryl Rapide™ 3-0 better than Monocryl®3-0?
Monocryl® 3-0 might be favourable over Vicryl Rapide™ 3-0 due to less self-reported dehiscence after intracutaneous closure of the skin in mediolateral episiotomies. Trial registrationThe trial was retrospectively registered under trial nr.
What is the difference between Vicryl and Monocryl stitches?
Vicryl is a widely used alternative and differs from Monocryl by virtue of being a braided (polyfilament) material. Braided sutures are useful as they are less likely to loosen at the surgical knot, but they do have a theoretically increased propensity to infection and may cause more of a local tissue reaction.
Is Vicryl® effective for perineal repair after delivery?
Studies suggest a correlation between the use of VicrylPlus® and a reduction of up to 30% of surgical site infections (SSI) compared to conventional sutures in a non-colonized wound. OBJEKTIVE: The primary objective is to compare infection rates and pain intensity when using Vicryl® versus VicrylPlus® for perineal repair after delivery.
What is Vicryl Rapide?
VICRYL RAPIDE Suture is the fastest-absorbing Ethicon synthetic suture and is ideal for use in superficial soft tissue approximation of the skin and mucosa, where only short-term wound support is required.
How long does it take Vicryl Rapide to dissolve?
(See 'Follow-up visits' below.) -Polyglactin 910 (Vicryl Rapide) – Polyglactin 910 (Vicryl Rapide) is a synthetic absorbable suture for approximation of the skin and mucosa. Almost all of its tensile strength is lost by 10 to 14 days, and the suture begins to "fall off" in 7 to 10 days as the wound heals [5].
What are the 4 types of sutures?
First, suture material can be classified as either absorbable or nonabsorbable....These types of sutures can all be used generally for soft tissue repair, including for both cardiovascular and neurological procedures.Nylon. A natural monofilament suture.Polypropylene (Prolene). ... Silk. ... Polyester (Ethibond).
Is Vicryl and Monocryl same?
Vicryl is a widely used alternative and differs from Monocryl by virtue of being a braided (polyfilament) material. Braided sutures are useful as they are less likely to loosen at the surgical knot, but they do have a theoretically increased propensity to infection and may cause more of a local tissue reaction.
Is Vicryl stronger than Monocryl?
Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS.
Which suture absorbs the fastest?
Absorbable SuturesEffective Wound SupportBest UseFast Absorbing Gut5-7 daysFaceChromic Gut10-21 daysXXXVicryl21 daysXXXVicryl Rapide10 daysChest, Extremities1 more row
Which suture is considered the strongest?
Surgilon provides the most stable strength for general suture techniques. FiberWire is the strongest suture material for a site where a large number of throws is clinically possible.
What type of suture is Vicryl?
VICRYL Suture is a synthetic absorbable suture coated with a lactide and glycolide copolymer plus calcium stearate. It is indicated for use in general soft tissue approximation and/or ligation, including ophthalmic procedures, but not cardiovascular or neurological tissues.
What is the most common suture?
Simple interrupted suture: It is the most common and simple form of suturing technique. The suture is placed by inserting the needle perpendicular to the epidermis. Inserting it perpendicularly helps in a wider bite of deeper tissue to be included in the suture than at the surface leading to rapid wound healing.
Which suture size is bigger?
Sutures are numbered by their size relative to their diameter. Thick suture numbering is from 0-10, with #10 being the largest diameter. Thin sutures are those that have the greatest number of zeroes after them and range from 1-0 to 12-0 (12-0 having the least breaking strength).
How long does 2.0 Vicryl take to dissolve?
The suture holds its tensile strength for approximately two to three weeks in tissue and is completely absorbed by acid hydrolysis within 56 to 70 days.
What color are Vicryl sutures?
Colour Violet or undyed. Range Gauge sizes 8-0 to 2 (U.S.P.)
How long do absorbable sutures take to absorb?
The time it takes for dissolvable or absorbable stitches to disappear can vary. Most types should start to dissolve or fall out within a week or two, although it may be a few weeks before they disappear completely. Some may last for several months.
Can you pull out dissolvable stitches?
As mentioned above, it's important not to remove a dissolvable stitch on your own without getting your doctor's approval first. If you doctor approves, make sure to use sterilized equipment, such as a surgical scissor, and to wash your hands thoroughly. You'll also need to sterilize the area with rubbing alcohol.
What happens if a stitch is left in the skin?
When the stitches remain in the skin for too long, it can result in additional scarring. Non-absorbable sutures can also be used for internal wounds which need to heal for an extended amount of time. Depending on the material used for the sutures, non-absorbable sutures may be permanent or slowly deteriorate.
What happens when your body rejects dissolvable stitches?
In some cases an absorbable suture can be “spit out” if the body doesn't break it down. This happens when the stitch is gradually pushed out of the skin because the body is rejecting the material. Spitting sutures can feel like a sharp spot on the incision, and a small white thread may start emerging.
Absorbable vs non-absorbable
Absorbable sutures (e.g. Monocryl, Vicryl, PDS) are broken down by the body over time by processes such as hydrolysis and enzymatic degradation. The amount of time this takes depends on the material, but also the location of insertion and the individual patient characteristics.
Do people really use catgut?
Naturally occurring suture materials (e.g. catgut, silk, steel etc.) are not as commonly used as they once were. Catgut is a good suture material made by twisting together strands of bovine intestine collagen.
Does size matter?
The tensile strength and handling properties are affected by the thickness of the suture thread. Suture materials are therefore manufactured in a variety of sizes. The size (4-0, 3-0 etc) describes the diameter of the suture strand. It is important to note that the larger the number prefix, the smaller the diameter of the thread.
Introduction
Two different types of suture are used in our unit after wisdom tooth extraction, Polyglactin 910 [PGS] (Vicryl ®, Ethicon) and rapid absorption irradiated Polyglactin 910 [PGI].
Patients and methods
Forty patients were included in our study, consecutively operated for impacted wisdom teeth by the same surgeons, between April and June 2010. The symmetry of impaction was systematically controlled on panoramic views before including a patient in the study. PGS and PGI were both used for every patient, PGS on one side and PGI on the other.
Results
The statistical analysis revealed that postoperative pain was greater on the PGS side (VAS = 3.7) than on the PGI side (VAS = 2.8) without any significant difference. The duration of swelling was significantly higher on the PGS side (5.5 days) than on the PGI side (3.1 days).
Discussion
This study proved the superiority of PGI over PGS during the three postoperative weeks after extraction of wisdom teeth, in terms of comfort and edema.
Introduction
Deux types de fil sont utilisés dans le service après avulsion de dents de sagesse, le Polyglactine 910 simple (PGS) (Vicryl, Ethicon ®) et le Polyglactine 910 irradié (PGI) (Vicryl rapide, Ethicon ® ), à résorption rapide.
Patients et méthodes
Quarante patients consécutifs ont été opérés par les mêmes chirurgiens pour dents de sagesse incluses entre avril et juin 2010. La symétrie de position des dents était contrôlée sur un panoramique dentaire systématique avant inclusion. Un fil de suture différent était utilisé de chaque côté : le patient étant son propre témoin.
Résultats
L’analyse statistique a montré que la douleur postopératoire côté PGS (EVA = 3,7) était supérieure au côté PGI (EVA = 2,8), mais de façon non significative. La durée de gonflements était significativement augmentée côté PGS 5,5 contre 3,1 jours côté PGI. La reprise de l’alimentation ne semblait pas différente ; elle n’a pas été interrompue.