If Chromic gut suture is unavailable during a prostatectomy, which suture can be used as a substitute?

The use of Vicryl as a substitute for Chromic gut suture during a prostatectomy is appropriate due to several important characteristics. Vicryl is a synthetic absorbable suture made from polyglactin 910, which provides similar handling properties and absorbability to Chromic gut.

Both Chromic gut and Vicryl are absorbed by the body over time, with Vicryl typically having a predictable absorption rate that makes it suitable for internal suturing where long-term support is needed. This is particularly relevant in procedures like prostatectomy, where tissue healing is critical after the surgical intervention.

In addition to their absorbability, both sutures allow for good knot security and exhibit minimal tissue reactivity, which helps reduce inflammation and promote healing. Vicryl is also available in various sizes and configurations, making it versatile for different surgical needs.

While options such as polyester/Dacron, silk, and nylon can be strong sutures, they do not have the same absorbable characteristics as Chromic gut or Vicryl. Silk is a non-absorbable suture known for its poor absorption rate, and while it can be used in some tissues, it's not ideal for situations where absorbable material is preferred. Nylon, also non-absorbable,