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比较犬卵巢韧带结扎中自锁定装置和缝线材料的宏观吸收时间。

Comparison of macroscopic resorption time for a self-locking device and suture material in ovarian pedicle ligation in dogs.

机构信息

Department of Animal Clinical and Surgery, Universidade Estadual Norte Fluminense, Alberto, Brazil.

Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.

出版信息

Vet Rec. 2019 Apr 13;184(15):478. doi: 10.1136/vr.104732. Epub 2019 Mar 14.

Abstract

A resorbable self-locking device (LigaTie) was developed to enable safe and easy surgical ligation of blood vessels. The aim of this study was to compare the long-term in vivo resorption of the device to a commercially available suture of equivalent material (Maxon) following ovarian pedicle ligation. After ovariohysterectomy follow-up ultrasound examinations were performed monthly on 21 dogs ligated with the device and 22 dogs ligated with the suture material until no hyperechoic remnants, acoustic shadowing or local tissue reactions were detected. In both groups, the ovarian pedicles gradually decreased in size. Ligation material was considered macroscopically resorbed when ultrasound showed no signs of the device or suture, ovarian pedicle or tissue reaction. Macroscopic resorption had occurred without signs of complications and was complete by four months for sutures and 5.5 months for the device. The results show that resorption time in vivo for the resorbable self-locking device is mildly longer than suture of the same material and that no complications of device resorption were detected, supporting that the resorbable self-locking device is safe for in vivo use.

摘要

一种可吸收的自锁定装置(LigaTie)被开发出来,以实现安全、简便的血管结扎。本研究旨在比较该装置与同材质的市售缝线(Maxon)在卵巢蒂结扎后的体内长期吸收情况。在卵巢子宫切除术的后续超声检查中,对 21 只使用该装置结扎的犬和 22 只使用缝线结扎的犬进行了每月一次的超声检查,直到未检测到高回声残留物、声影或局部组织反应。在两组中,卵巢蒂逐渐缩小。当超声显示无装置或缝线、卵巢蒂或组织反应的迹象时,结扎材料被认为是宏观上被吸收的。缝线在 4 个月时和装置在 5.5 个月时完全出现无并发症的宏观吸收。结果表明,可吸收自锁定装置的体内吸收时间略长于同材质缝线,且未检测到装置吸收的并发症,这支持该可吸收自锁定装置可安全用于体内。

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