A comparison of absorbable and nonabsorbable sutures to vascular response in immature arteries. 1986

W J Mallon, and A V Seaber, and J R Urbaniak

Absorbable suture material for microvascular procedures may be superior to nonabsorbable sutures because no foreign body remains at the operative site after suture absorption. We compared Vicryl (polyglactin 910) to a nonabsorbable suture, Prolene, which has been noted to have minimal thrombogenic potency. Patency rates, aneurysm formation, histologies and growth of the distal limb were measured and compared in microvascular anatomoses of immature arteries. Using 8-week-old rats, both femoral arteries (mean external diameter .85 mm) were transected and reanastomosed, using 10-0 suture material (Vicryl and Prolene) on a BV75-3 needle. Thirty rats were included in the study and separated into three harvest groups which were harvested at 4, 8, and 12 weeks. Magnification arteriography of the femoral arteries was performed, as well as standard refill tests. Selected vessels were sent for histologic study using H & E stain. Foot lengths of the rats were measured and compared to preoperative lengths. Prior to harvest, the arteries in the growing animals increased in diameter by 35 percent. Overall patency rates were 68.2 percent for Vicryl and 59.1 percent for Prolene, a non-significant difference. Aneurysm formation was 9.1 percent for Vicryl, and 50.0 percent for Prolene, a significant difference (P less than 0.01). The arteries repaired with Vicryl showed less scar formation, less medial necrosis, and less subintimal hyperplasia. Distal limb lengths showed no difference in the Vicryl and Prolene groups, but both groups were statistically inferior with respect to the unoperated control group. Our study demonstrated Vicryl to be equivalent to Prolene with respect to patency rates, but superior with respect to aneurysm formation and histologic response.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008853 Microscopy The use of instrumentation and techniques for visualizing material and details that cannot be seen by the unaided eye. It is usually done by enlarging images, transmitted by light or electron beams, with optical or magnetic lenses that magnify the entire image field. With scanning microscopy, images are generated by collecting output from the specimen in a point-by-point fashion, on a magnified scale, as it is scanned by a narrow beam of light or electrons, a laser, a conductive probe, or a topographical probe. Compound Microscopy,Hand-Held Microscopy,Light Microscopy,Optical Microscopy,Simple Microscopy,Hand Held Microscopy,Microscopy, Compound,Microscopy, Hand-Held,Microscopy, Light,Microscopy, Optical,Microscopy, Simple
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D011098 Polyglactin 910 A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons. Glycolic-Lactic Acid Polyester,Poly(Lactide-Co-Glycoside),Dimethyldioxanedione Polymer with Dioxanedione Polymer,Dioxanedione Polymer with Dimethyldioxanedione Polymer,Poly(Glycolide Lactide)Copolymer,Poly(Lactide-Co-Glycolide),Polygalactin 910,Polyglactin,Vicryl,Acid Polyester, Glycolic-Lactic,Glycolic Lactic Acid Polyester,Polyester, Glycolic-Lactic Acid
D011919 Rats, Inbred Strains Genetically identical individuals developed from brother and sister matings which have been carried out for twenty or more generations or by parent x offspring matings carried out with certain restrictions. This also includes animals with a long history of closed colony breeding. August Rats,Inbred Rat Strains,Inbred Strain of Rat,Inbred Strain of Rats,Inbred Strains of Rats,Rat, Inbred Strain,August Rat,Inbred Rat Strain,Inbred Strain Rat,Inbred Strain Rats,Inbred Strains Rat,Inbred Strains Rats,Rat Inbred Strain,Rat Inbred Strains,Rat Strain, Inbred,Rat Strains, Inbred,Rat, August,Rat, Inbred Strains,Rats Inbred Strain,Rats Inbred Strains,Rats, August,Rats, Inbred Strain,Strain Rat, Inbred,Strain Rats, Inbred,Strain, Inbred Rat,Strains, Inbred Rat
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001158 Arteries The vessels carrying blood away from the heart. Artery
D013537 Sutures Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed) Staples, Surgical,Surgical Staples,Staple, Surgical,Surgical Staple,Suture
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus

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