Vascular anastomoses with absorbable suture material: an experimental study

Annals of Vascular Surgery
T Schmitz-RixenS Horsch

Abstract

A synthetic, monofilament, absorbable suture material, polytrimethylene carbonate, was tested to determine its suitability for use in arterial anastomoses. The material studied is a copolymer made of trimethylene carbonate and polyglycolic acid, with a retention time in the tissue of up to six months. In an experimental group of 12 mongrel dogs, using simple end-to-end anastomoses, aortic and femoral patch grafts of bovine heterograft material and iliofemoral bypass implants of 5 mm of expanded polytetrafluoroethylene prostheses were performed and arteriographically and histologically documented. Direct intraindividual comparisons were made with the absorbable (polytrimethylene carbonate) and nonabsorbable (polypropylene, expanded polytetrafluoroethylene suture) materials, a total of 108 anastomoses. No suture material-related complications such as ruptures or suture line aneurysms occurred. Polytrimethylene carbonate sutures led to less inflammation and scar tissue formation than polypropylene sutures. Complete absorption of the suture material by hydrolytic decomposition was followed by an almost complete regeneration in all layers of the vessel wall. Regeneration of the connective tissue structures of the media was noted. In...Continue Reading

References

Jan 1, 1986·Journal of Reconstructive Microsurgery·W J MallonJ R Urbaniak
Apr 1, 1984·The Thoracic and Cardiovascular Surgeon·P T HarjolaL Heikkinen
Jan 1, 1982·Surgery·W V SharpP C Teague
May 1, 1980·Journal of Biomedical Materials Research·H DahlkeK Thurau

Citations

Mar 26, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A TiwariA M Seifalian
Feb 8, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Katsuhiro HosoyamaYoshikatsu Saiki
Nov 14, 2008·World Journal of Surgery·Marko AleksicJan Brunkwall
Jun 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D Reiter

Related Concepts

Polytrimethylene carbonate
Anastomosis, Surgical
Arteries
Dioxanes
Canis familiaris
Polymers
Polypro
Teflon
Staple, Surgical
Vascular Patency

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.