Absorbable suture material in carotid surgery

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Vincenzo Gasbarro ◽  
Luca Traina ◽  
Francesco Mascoli ◽  
Vincenzo Coscia ◽  
Gianluca Buffone ◽  
...  
Keyword(s):  
Suture Material ◽  
Absorbable Suture ◽  
Paediatric Surgery ◽  
Carotid Surgery ◽  
Suture Materials ◽  
Absorbable Suture Material ◽  
Absorbable Sutures ◽  
Group A ◽  
Group B

Abstract. Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.

Species-dependent premature degradation of absorbable suture materials caused by infection – Impact on the choice of thread in vascular surgery

VASA ◽  
2004 ◽  
Vol 33 (3) ◽  
pp. 165-169 ◽  
Author(s):  
Larena-Avellaneda ◽  
Debus ◽  
Diener ◽  
Dietz ◽  
Franke ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Suture Material ◽  
Logarithmic Phase ◽  
Absorbable Suture ◽  
Loss Of Function ◽  
Suture Materials ◽  
Absorbable Sutures ◽  
Phase Group ◽  
Group A ◽  
Group B

Background: In case of infection after vascular reconstruction, preference is often given to absorbable suture material with the aim of preventing persistence of infection. We have investigated the functional deficit of absorbable sutures on incubation with various different bacteria. Material and methods: Four suture materials – Dexon bicolor®, Vicryl®, Maxon® and PDS II® – were placed in contact with reference bacterial cultures (Staphylococcus aureus, Pseudomonas aeroginosa, E. coli, coagulase-negative staphylococci and Proteus mirabilis). The bacteria were incubated for 7 days at 37°C, together with the suture material. A logarithmic phase (Group A) and a static phase (Group B) were simulated. The linear tensile strength (LTS) of the suture material was measured (Instron Tensiometer). Results: In the case of Staphylococcus aureus, a significant decrease in LTS was established for Dexon bicolor® (group A: 31%, group B: 22%), and Vicryl® (53% and 43%), but not for the monofilament threads. With regard to the other bacteria, a considerably more dramatic effect was observed: in both groups the braided sutures had completely disintegrated after 7 days. The monofilament sutures also revealed a significant loss of function (Maxon®: 88%, PDS II® 66%). Conclusions: The absorbable sutures revealed a premature, species-dependent loss of function due to the presence of the bacteria. On the basis of our results, the use of absorbable threads for vessel sutures in case of infection cannot be recommended, with the exception of monofilament material in a monocultural Staphylococcus aureus infection.

scholarly journals Absorbable suture can be effectively and safely used to close the mesenteric defect in a Gastric bypass Sprague-Dawley Rat Model

2019 ◽  
Author(s):  
Libin Yao ◽  
Ponnie Robertlee Dolo ◽  
Yong Shao ◽  
Chao Li ◽  
Jason Widjaja ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Greater Omentum ◽  
Absorbable Suture ◽  
Mesenteric Defect ◽  
Absorbable Sutures ◽  
Group A ◽  
Prolene Suture ◽  
Group B ◽  
Mesenteric Defects ◽  
Group D

Abstract Background: To observe if closing the mesenteric defect with absorbable sutures creates a safe adhesion compared to non-absorbable suture after Roux-en-Y gastric bypass.Methods: Rats were randomly assigned to 5 experimental groups according to the different suture materials used in closing the mesenteric defects (Peterson’s space) after Roux-en-Y gastric bypass. Group A (control group), Group B (non-absorbable suture, Prolene suture), Group C (biological glue), Group D (non-absorbable suture, polyester suture) and Group E (absorbable suture). All rats were followed up for 8 weeks postoperatively and underwent laparotomy to observe the degree of adhesion and closure of the mesenteric defect.Results: No significant difference was found in the decrease in food intake and body weight among all groups. No internal hernia (IH) occurred in any group. The mesenteric defects of Group A remained completely visible without any closure or adhesion. Multiple gaps were found between the Prolene suture and the mesentery along the suture line in Group B. The mesenteric defects of Group C were complete closed with multiple adhesions of the small intestine and the greater omentum. The mesenteric defects in both Group D and Group E closed completely. The average adhesion scores in Group A and Group B were 0 and 0.33±0.52 respectively. The average adhesion score in group C (3.83±0.41) was higher than the other groups (p＜0.05). The average adhesion scores in Group D and E were similar (3.17±0.41 and 3.00±0.00 respectively). Conclusion: Absorbable suture created a safe adhesion score between the mesentery which was not inferior to non-absorbable sutures.

Comparison of Knotless Barbed Suture Versus Monofilament Suture in the Oral Cavity of Cats

2017 ◽  
Vol 34 (3) ◽  
pp. 148-154 ◽  
Author(s):  
Corinne L. Durand
Keyword(s):  
Suture Material ◽  
Barbed Suture ◽  
Absorbable Suture ◽  
Complication Rates ◽  
Absorbable Suture Material ◽  
Monofilament Suture ◽  
Absorbable Sutures ◽  
A Prospective Study ◽  
Time Standard ◽  
Mucosal Wound

The present study compares a knotless, barbed, absorbable suture material against a conventional monofilament absorbable suture material in oral mucosal wound closure. The parameters measured include time of closure and differences in healing at 2 and 4 weeks postoperatively. A prospective study comparing a knotless, barbed suture system with conventional absorbable sutures was undertaken in 19 cats. Nineteen cats had full mouth extractions performed. Following the extraction procedures, the incisions in the arcades (maxillary and mandibular) were apposed with the barbed, knotless suture system in a continuous pattern on one side and with a conventional smooth suture in an interrupted pattern on the other. Suturing times for each arcade were recorded. The material used to close the first side of each cat varied. Healing, dehiscence, and other complications were assessed at 2 and 4 weeks postoperatively. The average closure time (± standard deviation) per quadrant with conventional monofilament suture was 8.7 (±1.3) minutes, while barbed suture required an average of 5.1 (±1.1) minutes per quadrant to complete the suture. This difference (95% confidence interval) of 3.6 (±3.2-4.1) minutes per quadrant was statistically significant ( P < .001). Dehiscence and ranula-like swelling formation were noted as uncommon postoperative complications, but the differences were not significant between the groups. Barbed, knotless sutures resulted in faster closure times than conventional, simple interrupted, monofilament sutures with similar healing and complication rates. To the author’s knowledge, there is no current literature comparing conventional absorbable monofilament sutures to a knotless, barbed, absorbable suture system for closure of oral mucosal incisions in cats.

Results of an Observational Study in Carotid Surgery Using Absorbable Suture Material

2008 ◽  
Vol 33 (1) ◽  
pp. 145-149 ◽  
Author(s):  
Marko Aleksic ◽  
Jan Uedelhoven ◽  
Vladimir Matoussevitch ◽  
Thomas Luebke ◽  
Salvatore Tomagra ◽  
...  
Keyword(s):  
Observational Study ◽  
Suture Material ◽  
Absorbable Suture ◽  
Carotid Surgery ◽  
Absorbable Suture Material

scholarly journals Iliofemoral technique modification using an anchor screw as treatment of canine traumatic hip luxation - case report

2020 ◽  
Vol 72 (6) ◽  
pp. 2252-2258
Author(s):  
A.G. Rocha ◽  
R.C. Costa ◽  
G.O. Morato ◽  
D.G. Chung ◽  
J.G. Padilha-Filho ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Suture Material ◽  
Clinical Results ◽  
Suture Technique ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Absorbable Sutures ◽  
Surgical Difficulty ◽  
Hip Luxation ◽  
Joint Congruence

ABSTRACT Twelve dogs with traumatic hip luxation were selected for surgical intervention with a modified iliofemoral suture technique using an anchor screw to substitute the passage of suture material through a perforated tunnel in the ilium. Six procedures were performed with non-absorbable suture and other six with absorbable suture materials. These cases were evaluated at 15, 30, 60, and 90 days after surgery by performing an ambulation analysis and palpation of the joint. In all cases, there was a return of partial and total limb support in an average of 3 and 19 postoperative, respectively. The fixation strategy of the suture material in the ilium using an anchor screw proved to be efficient with a smaller surgical approach and lesser surgical difficulty, maintaining joint congruence in acute as chronic luxation cases. The use of absorbable and non-absorbable sutures had excellent clinical results, but there was a subjective superiority of the first ones, once 4 dogs of the non-absorbable group presented some discomfort during the postoperative palpation of the joint, 90 days after surgery.

What to Choose for Trabeculectomy, 10/0 Nylon Monofilament or 8/0 Virgin Silk?

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Erum Shahid ◽  
Uzma Fasih ◽  
Arshad Shaikh
Keyword(s):  
Anterior Chamber ◽  
P Value ◽  
Suture Materials ◽  
Laser Trabeculoplasty ◽  
Quasi Experimental ◽  
Group A ◽  
Ocular Pressure ◽  
Shallow Anterior Chamber ◽  
Group B

Purpose:  To compare between 10/0 nylon monofilament and 8/0 virgin silk for conventional trabeculectomy in terms of rate of complications and bleb morphology. Study Design:  Quasi experimental study. Place and Duration of Study:  Abbasi Shaheed Hospital, Karachi, from January 2017 to December 2018. Methods:  Thirty six patients who underwent conventional trabeculectomy with 6 months follow-up were included. Trabeculectomy for congenital, neovascular, traumatic glaucoma, revised surgery and laser trabeculoplasty were excluded. In group A, scleral flap and conjunctiva were closed with 8/0 virgin silk and in group B, 10/0 nylon monofilament was used. Main outcome measure was complications. Results:  Group A had 13 (36%) and group B had 23 (63.9%) patients. Mean age was 55.5 ± 10.69. Pre-operative Intraocular pressure (IOP) was 33.4 ± 6.3 and 33.5 ± 12 mm Hg in group A & B respectively. Postoperatively at 3rd month IOP was 16.8 in group A and 15.0 in group B (p = 0.24).Shallow Anterior chamber was in 53% (n = 7) patients with 8/0 silk and 13% (n = 3) patients with 10/0 nylon with p value of < 0.05. Seidel test was positive in 38% (n = 5) patients in group A (p < 0.01). Re-suturing was done in 38% (n = 5) patients in group A with a p-value (p < 0.01). Conclusion:  Shallow anterior chamber, wound leak with positive seidel test and additional intervention for re-suturing were more common in group A than group B. Diffuse blebs were frequently seen with both suture materials. Suture material does not affect final intra ocular pressure and success of trabeculectomy. Key Words:  Bleb, Trabeculectomy, 10/0 Nylon, 8/0 silk.

A Clinical Audit Of Management Of Third And Fourth Degree Perineal Tears

2021 ◽  
pp. 1-11
Author(s):  
Saida Abrar ◽  
Raheela Mohsin Rizvi ◽  
Urooj Kashif ◽  
Admin
Keyword(s):  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Suture Material ◽  
Clinical Audit ◽  
University Hospital ◽  
Absorbable Suture ◽  
Fourth Degree ◽  
Absorbable Suture Material ◽  
Vaginal Deliveries

Abstract Objective: To perform a clinical audit of the practices of third and fourth degree preineal tears management in our institution. Methods: A review of  medical records was performed, of women having singleton term vaginal delivery sustaining obstetric anal sphincter injuries (OASIS) at Aga Khan University Hospital (AKUH), Karachi from January 2008 to December 2018. We compared the change in practices regarding management of OASIS with the results of our previous study done at AKUH in 2008. Results: The frequency of  OASIS in our department is 0.56% (142/25370). The documentation of OASIS improved compared to previous study ( 20.7% to 87%). There was also a significant increase in documentation of the method of repair, use of delayed absorbable suture material for the repair of external anal sphincter and follow-up at 06 weeks to see the success of repair and plan next delivery. The use of vaccum vaginal delivery increased to 27(19%) from 5(4%) but there was decrease in the OASIS complicated by instrumental vaginal deliveries, which may be due to the decrease in the use of forceps from 64% to 26%. Conclusions: Despite of increase in the  number of deliveries , frequency of OASIS remained similar to the previous study. There was a significant increase in the vaccum vaginal delivery, documentation of degree of tears, use of delayed absorbable suture material and long-term follow-up and decrease in the use of forceps. The compliance to international guideline increased as compared to our previous paper. Continuous...

scholarly journals Absorbable suture can be effectively and safely used to close the mesenteric defect in a Gastric bypass Sprague-Dawley Rat Model

2019 ◽  
Author(s):  
Libin Yao ◽  
Ponnie Robertlee Dolo ◽  
Yong Shao ◽  
Chao Li ◽  
Jason Widjaja ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Greater Omentum ◽  
Absorbable Suture ◽  
Mesenteric Defect ◽  
Absorbable Sutures ◽  
Group A ◽  
Prolene Suture ◽  
Group B ◽  
Mesenteric Defects ◽  
Group D

Abstract Background: To observe if closing the mesenteric defect with absorbable sutures creates a safe adhesion compared to non-absorbable suture after Roux-en-Y gastric bypass. Methods: Rats were randomly assigned to 5 experimental groups according to the different suture materials used in closing the mesenteric defects (Peterson’s space) after Roux-en-Y gastric bypass. Group A (control group), Group B (non-absorbable suture, Prolene suture), Group C (biological glue), Group D (non-absorbable suture, polyester suture) and Group E (absorbable suture). All rats were followed up for 8 weeks postoperatively and underwent laparotomy to observe the degree of adhesion and closure of the mesenteric defect. Results: No significant difference was found in the decrease in food intake and body weight among all groups. No internal hernia (IH) occurred in any group. The mesenteric defects of Group A remained completely visible without any closure or adhesion. Multiple gaps were found between the Prolene suture and the mesentery along the suture line in Group B. The mesenteric defects of Group C were complete closed with multiple adhesions of the small intestine and the greater omentum. The mesenteric defects in both Group D and Group E closed completely. The average adhesion scores in Group A and Group B were 0 and 0.33±0.52 respectively. The average adhesion score in group C (3.83±0.41) was higher than the other groups (p ＜ 0.05). The average adhesion scores in Group D and E were similar (3.17±0.41 and 3.00±0.00 respectively). Conclusion: Absorbable suture created a safe adhesion score between the mesentery which was not inferior to non-absorbable sutures.

scholarly journals EFFECT OF ABSORBABLE SUTURES ON POST THORACOTOMY PAIN THE SEQUEL OF NERVE ENTRAPMENT.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Farooq Ahmad. Ganie ◽  
Mohd Yaqoob Khan ◽  
Syed Wahid ◽  
G N Lone ◽  
Rouf Gul.
Keyword(s):  
Suture Material ◽  
Persistent Pain ◽  
Nerve Entrapment ◽  
Absorbable Suture ◽  
Open Thoracotomy ◽  
Absorbable Suture Material ◽  
Absorbable Sutures

Objective: To study the effect of use of absorbable suture material in thoracotomy closure on the chronic post-thoracotomy pain. Keywords: Open thoracotomy, Nerve entrapment, Persistent pain, Absorbable suture

scholarly journals Absorbable suture can be effectively and safely used to close the mesenteric defect in a Gastric bypass Sprague-Dawley Rat Model

2019 ◽  
Author(s):  
Libin Yao ◽  
Ponnie Robertlee Dolo ◽  
Yong Shao ◽  
Chao Li ◽  
Jason Widjaja ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Greater Omentum ◽  
Absorbable Suture ◽  
Mesenteric Defect ◽  
Absorbable Sutures ◽  
Group A ◽  
Prolene Suture ◽  
Group B ◽  
Mesenteric Defects ◽  
Group D

Abstract Background: To observe if closing the mesenteric defect with absorbable sutures creates a safe adhesion compared to non-absorbable suture after Roux-en-Y gastric bypass. Methods: Rats were randomly assigned to 5 experimental groups according to the different suture materials used in closing the mesenteric defects (Peterson’s space) after Roux-en-Y gastric bypass. Group A (control group), Group B (non-absorbable suture, Prolene suture), Group C (biological glue), Group D (non-absorbable suture, polyester suture) and Group E (absorbable suture). All rats were followed up for 8 weeks postoperatively and underwent laparotomy to observe the degree of adhesion and closure of the mesenteric defect. Results: No significant difference was found in the decrease in food intake and body weight among all groups. No internal hernia (IH) occurred in any group. The mesenteric defects of Group A remained completely visible without any closure or adhesion. Multiple gaps were found between the Prolene suture and the mesentery along the suture line in Group B. The mesenteric defects of Group C were complete closed with multiple adhesions of the small intestine and the greater omentum. The mesenteric defects in both Group D and Group E closed completely. The average adhesion scores in Group A and Group B were 0 and 0.33±0.52 respectively. The average adhesion score in group C (3.83±0.41) was higher than the other groups (p ＜ 0.05). The average adhesion scores in Group D and E were similar (3.17±0.41 and 3.00±0.00 respectively). Conclusion: Absorbable suture created a safe adhesion score between the mesentery which was not inferior to non-absorbable sutures.

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