Effect of human pancreatic juice and bile on the tensile strength of suture materials

American Journal of Surgery
M A Tolga MuftuogluAbdullah Saglam

Abstract

Several suture materials are used for pancreatojejunal anastomosis. In this study, we tested the durability of these suture materials in human pancreatic juice and bile. Plain and chromic catgut, polyglactin 910, polyglycolic acid, polydioxanone, polypropylene, and silk sutures were incubated in pancreatic juice and bile that was collected from patients. Fifteen samples of each type of suture material were placed in human juices for 1, 3, and 7 days. Tensile strengths were measured with a tensionmeter. Plain and chromic catgut disintegrated in pancreatic juice and pancreatic juice plus bile mixture. Polyglycolic acid and polyglactin 910 suture materials were vulnerable to pancreatic juice within 7 days. Polydioxanone retained most of its initial strength in pancreatic juice and bile. Polypropylene and silk retained 84% and 92% of their initial strength, respectively. We found that polidioxanone was the strongest suture material in pancreatic juice.

References

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Citations

Jun 15, 2007·Journal of Materials Science. Materials in Medicine·Jin-Cheol KimHyeong-Cheol Yang
May 19, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mark J TrutyFlorencia G Que
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Jun 23, 2020·Expert Review of Gastroenterology & Hepatology·Jiacheng WuXuewen Zhang
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Jun 2, 2018·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Stefano AndrianelloClaudio Bassi

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