What are two frequent uses (generally speaking) for VICRYL RAPIDE?
1) Superficial soft tissue approximation of the skin and mucosa
2) Skin repairs where rapid absorption may be beneficial (although not over joints or in high stress areas)
What is the BSR and absorption profile for VICRYL RAPIDE and how does it compare to the BSR and suture absorption profile for Fast Absorbing Plain Gut?
BSR profile for VR:
50% at 5 days, 0% at 10-14 days
Absorption for VR:
42 days
BSR for FA Plain Gut:
7-10 days BSR
Absorption for FA Plain Gut:
56 days
TRUE OR FALSE
VICRYL RAPIDE would be an optimized suture recommendation for Fast Acting Plain Gut and why?
TRUE
The BSR and absorption times are comparable
What are three frequent uses (generally speaking) for coated VICRYL Plus Antibacterial?
1) Soft tissue approximation
2) Ligation
3) General closure
Depending on the in vivo strength requirement, what are 4 specific (possible) uses for coated VICRYL Plus Antibacterial sutures in ENT surgeries?
1) Septoplasty
2) Thyroid
3) Rhinoplasty
4) Parathyroid
What is the BSR and absorption profile for coated VICRYL Plus Antibacterial sutures and how does it compare to the BSR and suture absorption profiles for Chromic and Plain Gut?
BSR profile for VICRYL Plus:
75% retained at 2 weeks
50% retained at 3 weeks
25% retained at 4 weeks
Absorption for VICRYL Plus:
56-70 days
BSR profile for Chromic Gut:
21-28 days
Absorption for Chromic Gut:
90-133 days
BSR profile for Plain Gut:
14-21 days
Absorption for Plain Gut:
56-120 days
If you use Fast Absorbing Plain Gut, you could use…
…VICRYL RAPIDE
If you use Plain Gut Suture, you could use…
…MONOCRYL Plus Antibacterial Suture
If you use Chromic Gut Suture, you could use… (2 choices)
…Coated VICRYL Plus Antibacterial Suture
or
MONOCRYL Plus Antibacterial Suture
What is the specific MOA of hydrolysis for VICRYL RAPIDE? (What is the chemical degradation process)
Hydrolysis - the copolymer degrades to glycolic and lactic acid which are then absorbed and metabolized in the body.
There is a lesser degree of tissue reaction following implantation compared to the enzymatic action of gut sutures
What are three specific uses for VICRYL RAPIDE in gyn surgery (where gut may have been used before)?
1) Episiotomy repair
2) Perineal repairs
3) Vaginal lacerations
What is a specific use for Coated VICRYL Plus antibacterial suture in gyn surgery (where gut may have been used before)?
C sections: uterus, peritoneaum, fascia / muscle (specifically the rectus abdominis)
What are four specific uses for MONOCRYL Plus antibacterial suture in gyn surgery (where gut may have been used before)?
1) Skin repairs
2) Peritoneum
3) Uterus
4) Vaginal cuff
What are three specific uses for VICRYL RAPIDE in PRS surgery (where gut may have been used before)?
1) Blepharoplasty
2) Scar revision
3) Skin repair
What are four specific uses for Coated VICRYL Plus antibacterial suture in PRS surgery (where gut may have been used before)?
1) Rhinoplasty
2) Brow lift
3) Soft tissue approximation
4) general closure
What are three specific uses for MONOCRYL Plus antibacterial suture in PRS surgery (where gut may have been used before)?
1) Blepharoplasty
2) Skin repair / closure
3) Soft tissue approximation
What are three specific uses for PDS Plus antibacterial suture in PRS surgery (where gut may have been used before)?
1) Rhinoplasty (for deep internal layers)
2) Brow lift (for deep layers or fixation)
3) Soft tissue approximation
What is a specific use for VICRYL RAPIDE in urology surgery (where gut may have been used before)?
Soft tissue approximation
What are two specific uses for Coated VICRYL Plus antibacterial suture in uro surgery (where gut may have been used before)?
1) Soft tissue approximation
2) Urinary tract
What are three specific uses for MONOCRYL Plus antibacterial suture in uro surgery (where gut may have been used before)?
1) Soft tissue approximation
2) Urinary tract
3) Robotic procedures
What is a specific use for PDS Plus antibacterial suture in uro surgery (where gut may have been used before)?
Robotic procedure
What are two specific uses for VICRYL RAPIDE in ENT surgery (where gut may have been used before)?
1) Superficial soft tissue approximation of the skin and mucosa
2) Skin repairs where rapid absorption may be beneficial (but not over joints or areas of high stress)
What are specific uses for Coated VICRYL Plus antibacterial suture in ENT surgery (where gut may have been used before)?
1) Soft tissue approximation
2) Ligation
3) Depending on the in vivo strength requirements - septoplasty, thyroid, parathyroid, rhinoplasty
What are four specific uses for MONOCRYL Plus antibacterial suture in ENT surgery (where gut may have been used before)?
1) Soft tissue approximation
2) Ligation
3) Skin repairs
4) Depending on the in vivo strength requirements - septoplasty, thyroid, parathyroid, rhinoplasty
