Muftuoglu M A Tolga, Ozkan Erkan, Saglam Abdullah
Fourth General Surgical Department of Haydarpasa Numune Teaching and Training Hospital, Uskudar 34668, Istanbul, Turkey.
Am J Surg. 2004 Aug;188(2):200-3. doi: 10.1016/j.amjsurg.2003.12.068.
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.
几种缝合材料用于胰空肠吻合术。在本研究中，我们测试了这些缝合材料在人胰液和胆汁中的耐久性。
将普通肠线、铬制肠线、聚乙醇酸910、聚乙醇酸、聚二氧六环酮、聚丙烯和丝线缝合线置于从患者收集的胰液和胆汁中。每种缝合材料的15个样本在人胰液中放置1天、3天和7天。用张力计测量拉伸强度。
普通肠线和铬制肠线在胰液和胰液加胆汁混合物中分解。聚乙醇酸和聚乙醇酸910缝合材料在7天内易受胰液影响。聚二氧六环酮在胰液和胆汁中保留了大部分初始强度。聚丙烯和丝线分别保留了其初始强度的84%和92%。
我们发现聚二氧六环酮是胰液中最强的缝合材料。
