Marti R, Burgués L, Gabarró I, Mariella V, Guix M
J Fr Ophtalmol. 1986;9(5):373-9.
The following article discusses the experimental and clinical reasons for using absorbable synthetic explants in retinal surgery. We have carried out experimental studies with absorbable synthetic explants bandmade from absorbable sewing threads: PG910, PGA and PDS; proving that these explants are well tolerated by the organism. Their reabsorption time is from 45 days using PG910, to 8 months using PDS; these periods are sufficient for proper anatomical healing of the retina to take place. We present 13 cases of extraction of Teflon explants after retinal detachment surgery; in none of these cases did re-detachment of the retina occur. Consequently, this induced us to introduce absorbable synthetic explants into retinal detachment surgery, using absorbable threads, having previously carried out an experimental study on rabbits. We present 10 cases of retinal detachment operated on with PDS from 95 cases operated on using absorbable synthetic explants; 100% anatomical healing of the retina was achieved. We consider this type of explant to be the ideal material for retinal detachment healing, due to the fact that its period reabsorption, being longer than those of the other explants, allows a longer indentation period.
以下文章讨论了在视网膜手术中使用可吸收合成植入物的实验和临床原因。我们使用由可吸收缝线制成的可吸收合成植入物进行了实验研究:PG910、聚乙醇酸(PGA)和聚对二氧环己酮(PDS);证明这些植入物能被机体良好耐受。它们的吸收时间从使用PG910的45天到使用PDS的8个月不等;这些时间段足以使视网膜实现适当的解剖愈合。我们展示了13例视网膜脱离手术后取出聚四氟乙烯植入物的病例;在这些病例中均未发生视网膜再次脱离。因此,这促使我们在对兔子进行了实验研究后,将可吸收合成植入物引入视网膜脱离手术,使用可吸收缝线。我们展示了95例使用可吸收合成植入物进行手术的病例中,10例使用PDS进行视网膜脱离手术的情况;视网膜实现了100%的解剖愈合。我们认为这种类型的植入物是视网膜脱离愈合的理想材料,因为其吸收期比其他植入物更长,从而允许更长的压陷期。