Vicryl 3-0 is an absorbable
multifilament suture material manufactured and marketed by Ethicon Inc. It has
found use in almost every operation from varying surgical specialities.
About
Vicryl 3-0 –
Vicryl sutures are composed of
Polyglactin 910 which is a composite of Glycolide and Lactide in a proportion
of 90 % is to 10 % respectively. They are available as dyed and undyed
varieties and as a braided multifilament suture thread. Vicryl
3-0 has a suture diameter 0.018 mm, i.e. its maximum suture oversize in
diameter. This makes it a fine suture material for use in relatively delicate
tissues.
Advantages
Of Vicryl 3-0, Absorption Period And How Does It Compare?
Vicryl
type sutures have many advantages,
is a multifilament braided suture which makes them
strong and it becomes uncomplicated for the surgeon to use them in tissues.
Antibacterial component in them prevents infection.. This property gives Vicryl good knotting quality
as compared to Monocryl which is a monofilament non-braided suture. However,
the braiding of the suture threads allows the proliferation of bacteria in the
nooks and crevices, especially in the knots. This leads to the potential of
infection from the suture placed in the tissues. It is for this reason that
Vicryl is not recommended for the closure of wounds with a possibility of
infection.
The tissue reaction from Vicryl is
milder compared to the naturally absorbable suture material, catgut. It is
hydrolysed in tissue and absorption is complete by 60-70 days. Vicryl maintains
up to 75 % of its tensile strength by 2 weeks and approximately 40-50% by the
end of 4 weeks. This corresponds well to the time taken for the healing of soft
tissue. Vicryl maintains adequate tension till healing is adequate.
Due to its property of causing a mild
tissue reaction and the potential for infection, Vicryl is generally not
recommended for the closure of skin, except in special situations such as
wounds which would be enclosed in a plaster cast. In this case, the autolysis
of Vicryl and its ‘falling off’ property is advantageous in that suture removal
is not necessary.
Tips
On Using Vicryl 3-0 And Surgical Sutures In General –
Vicryl is a very pliant suture and has
good knotting property. This is exploited in the use of Vicryl sutures for
hemostasis and ligature of bleeding vessels. The ends of smaller bleeding
vessels can also be transfixed or underrun using Vicryl 3-0. However it
important to keep in the mind that Vicryl is not suited for closing infected
wounds. Vicryl 3-0 can also be used in the anastomosis of bowel, ligature of
hernia sac after reduction of contents, and approximation of subcutaneous
tissue prior to closing of skin. It creates adequate tissue reaction to lead to
fibrosis and healing of the tissues.
J427H Vicryl 3-0 undyed suture on PS-2
needle (19 mm, cutting, 3/8th of circle) with suture length of 27”
(70 cm) manufactured by Ethicon Inc.
Order now! Call Toll free: 1800-3675735
or US Local: 305-8855855
The usage of vicryl sutures has increased in recent years and thus it is easily available in all the medical stores
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