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Sharp surgeons use blunt needles.(LETTERS)(Letter to the Editor)

OB GYN News

| December 01, 2005 | Catanzarite, Val A. | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

I am delighted that the American College of Surgeons "endorses the universal adoption of blunt suture needles for all potential applications in the operating room" ("Blunt Suture Needles Advocated as Safe, Effective," Oct. 1, 2005, p. 34).

At Sharp Mary Birch Hospital for Women, I have been using blunt-tipped needles for cesarean sections and episiotomy repairs for over 6 years. For cesarean section, I use a 0 or 1 Vicryl suture on a CTX-B needle for closing the uterus and the fascia, and use a 2-0 Monocryl suture on a CTB-1 needle for peritoneum and subcutaneous tissue. The needles do have a slightly different "feel" from conventional needles--there is a slight "tug" as they penetrate fascia, for example--but that is preferable to the sharp "ouch" that occurs in 1%-2% of obstetric and gynecologic surgeries. For episiotomy repair, I use a 2-0 or a 3-0 Vicryl suture on a CTB-1 needle. Initially, I was reluctant to try a blunt-tipped needle for the subcuticular layer and episiotomy repairs. However, the CTB-1 needle moves through the tissue very smoothly, and there is almost no perceptible difference between the CTB-1 and the conventional CT-1 needle--except that with the CTB-1, needlestick injuries to the obstetrician ...

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