Department of Paediatric Ophthalmology and Strabismus, Narayana Nethralaya, Bengaluru, Karnataka, India.
Indian J Ophthalmol. 2018 May;66(5):661-664. doi: 10.4103/ijo.IJO_654_17.
The purpose of the study is to compare the efficiency as well as the rate and type of suture-related complications between 10-0 monofilament nylon (Aurolab Nylon Sutures, double arm, Aurolab) and 10-0 polyglactin 910 sutures (Vicryl, single arm, Aurolab) for pediatric cataract surgery.
It is a prospective, comparative study performed in children who underwent surgery for congenital or developmental cataract from March 2013 to February 2016. Patients underwent suturing with either nylon or Vicryl in unilateral cases, but in most bilateral surgeries, one eye received Vicryl sutures while the other eye received nylon. The sutures were compared for their complications and the need for suture removal.
Forty-one children (72 eyes) were included in the study, of which 31 children (62 eyes) underwent bilateral surgery while 10 (10 eyes) underwent unilateral surgery. Sixty-four nylon sutures were placed in 32 children (34 eyes), of which 22 (34.4%) were removed due to suture-related complications, whereas 14 (19.7%) (P = 0.03) of the 71 Vicryl sutures placed in 32 children (38 eyes) needed suture removal at an average of 2.9 weeks with the earliest at 6 days postoperatively. The odds of Vicryl suture being removed was 0.42 times with respect to nylon. The most common reason encountered for suture removal in both the materials was sutures becoming loose (16.3%), followed by vascularization (14.1%), infiltration (1.5%), and opacification (4.4%).
Absorbable suture such as 10-0 Vicryl is preferred over nonabsorbable suture 10-0 nylon for suturing incisions in pediatric cataract surgery, to avoid subjecting the child to repeated anesthesia.
本研究旨在比较 10-0 单丝尼龙缝线（奥罗拉单丝尼龙缝线，双股，奥罗拉）和 10-0 聚甘醇酸 910 缝线（薇乔，单股，奥罗拉）在儿童白内障手术中缝线相关并发症的效率、发生率和类型。
这是一项前瞻性、对比研究，纳入 2013 年 3 月至 2016 年 2 月间接受先天性或发育性白内障手术的儿童。单侧手术患者使用尼龙缝线或薇乔缝线缝合，而在大多数双眼手术中，一只眼接受薇乔缝线，另一只眼接受尼龙缝线。对缝线的并发症和缝线拆除的需求进行比较。
共有 41 名儿童（72 只眼）纳入研究，其中 31 名儿童（62 只眼）接受双侧手术，10 名儿童（10 只眼）接受单侧手术。32 名儿童（34 只眼）共放置 64 根尼龙缝线，其中 22 根（34.4%）因缝线相关并发症而拆除，而 32 名儿童（38 只眼）共放置 71 根薇乔缝线中，有 14 根（19.7%）（P = 0.03）需要在平均 2.9 周（最早术后 6 天）拆除缝线。薇乔缝线需要拆除的可能性是非尼龙缝线的 0.42 倍。两种缝线材料最常见的拆除原因是缝线松动（16.3%），其次是血管化（14.1%）、浸润（1.5%）和混浊（4.4%）。
在儿童白内障手术中，与不可吸收缝线 10-0 尼龙相比，可吸收缝线 10-0 薇乔更有利于缝合切口，以避免让患儿接受多次麻醉。
