cystotomy

Re: cystotomy

CatherineThomas — Fri, 18 May 2012 16:19:11 GMT

I use vicryl too, probably 4/0. I also do an inverting pattern. Sometimes I'll do a second layer, depending on how happy I am with the first layer and how thick the bladder wall is.

Re: cystotomy

HMC — Fri, 18 May 2012 13:04:30 GMT

I went with 3/0 PDS simple continuous (twice as I'm a a worrier).

Re: cystotomy

Mark Rowland — Fri, 18 May 2012 09:53:59 GMT

I use PDS, appositional

Re: cystotomy

Lorna McHardy — Fri, 18 May 2012 09:45:22 GMT

[quote user="Simon Neuhoff"]

Single layer apposition with no inverting seems to be the way to go these days. Recent JAVMA paper (I've only read the synopsis) suggests slightly lower complications with this than double layer with inversion. Vicryl for me.

[/quote]

I also use vicryl... usually a single inverting layer... might change that now; although, so far, I've not had any complications I'm aware of with these. Is there a link to that paper anywhere? Presumably that single layer apposition would not be full thickness?

Re: cystotomy

Simon Neuhoff — Fri, 18 May 2012 08:55:59 GMT

Re: cystotomy

stuart mcmorrow — Thu, 17 May 2012 22:35:54 GMT

3/0 monocryl works for me

Re: cystotomy

Evelyn Barbour-Hill — Wed, 16 May 2012 23:41:44 GMT

4/0 Vicryl for me.

Re: cystotomy

David Mills — Wed, 16 May 2012 23:30:40 GMT

Monocryl 3-0/2-0 depending on size of animal; I was also under the impression that inverting sutures no longer in vogue as inverted bladder wall with bleeding cut edges are associated with greater risk of post-op infection. Bladder heals very quickly and is a specialist leak-resistant organ forming a seal very very quickly so persistence not a great issue.

Re: cystotomy

derrick carpenter — Wed, 16 May 2012 22:33:26 GMT

Single layer Continuous appositional vircyl 3/0 possibly 4/0 in a cat. I'd have thought pds would also be fine

Re: cystotomy

Mark Holmes — Wed, 16 May 2012 21:59:23 GMT

I try to invert ... But how often do you open a healthy bladder?

Re: cystotomy

emma o'connor — Wed, 16 May 2012 21:23:07 GMT

I use biosyn for cystotomy closure, and generally go for an inverting suture pattern if not too thickened from chronic inflammation, otherwise I will use an interrupted pattern.

Re: cystotomy

Rosie_Skinner — Wed, 16 May 2012 18:48:56 GMT

Biosyn would be fine. Also I went to a surgery talk yesterday, and they said to do simple interrupted in the bladder wall as it allows for more flexibility/security in the suture line when the bladder fills and empties.

Re: cystotomy

HMC — Wed, 16 May 2012 18:26:53 GMT

The practice has caprosyn (polyglytone 6211) and biosyn (glycomer 631).

Hmmm. To order in PDS or not to order in PDS....?

Re: cystotomy

Utlendigur — Wed, 16 May 2012 17:33:15 GMT

Another vote for PDS. Also inversion suture if possible (but not full wall thickness to avoid suture material in bladder lumen) but sometimes the bladder wall is just too thick to invert (eg chronic calculi). I usually use 1.5m pds unless particularly big bladder/incision

Re: cystotomy

Hannah Wynne Richards — Wed, 16 May 2012 17:19:25 GMT

PDS but an inversion suture

Wynne