[Do resorbable suture materials permit safe vascular anastomoses?].

Helvetica chirurgica acta Pub Date : 1994-12-01
D Gianom, M Lachat, F Redha, L von Segesser, M Turina
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Abstract

Vascular surgery in growing organisms is still problematic. Especially in surgical therapy of coarctation of the aorta, high restenose rates are documented if non-absorbable polypropylene and running suture technique ist used. Theoretically, absorbable suture material allows a running suture technique with less restenose rates. Our study compares absorbable (polyglyconat and polydioxanon) with non-absorbable (polypropylene) suture material for repair of aorta in growing dogs. Anastomoses performed with absorbable suture material show after one year very good functional results without any local complications. In conclusion we can say that absorbable suture material allows formation of safety vascular anastomoses and doesn't impair growth of anastomoses.

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可吸收缝线材料是否允许安全的血管吻合?
在生长中的生物体中进行血管手术仍然存在问题。特别是在手术治疗主动脉缩窄时,如果使用不可吸收的聚丙烯和流动缝合技术,再狭窄率很高。理论上,可吸收的缝合材料允许运行缝合技术,减少再狭窄率。我们的研究比较了可吸收性(聚乙二醇和聚二恶英农)和不可吸收性(聚丙烯)缝合材料用于修复生长犬的主动脉。采用可吸收缝线材料进行吻合,术后1年功能效果良好,无局部并发症。综上所述,可吸收的缝合材料可以形成安全的血管吻合口,并且不会损害吻合口的生长。
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