Gianom D, Lachat M, Redha F, von Segesser L, Turina M
Departement Chirurgie, Universitätsspital Zürich.
Helv Chir Acta. 1994 Dec;60(6):901-5.
Vascular surgery in growing organisms is still problematic. Especially in surgical therapy of coarctation of the aorta, high restenose rates are documented if non-absorbable polypropylene and running suture technique ist used. Theoretically, absorbable suture material allows a running suture technique with less restenose rates. Our study compares absorbable (polyglyconat and polydioxanon) with non-absorbable (polypropylene) suture material for repair of aorta in growing dogs. Anastomoses performed with absorbable suture material show after one year very good functional results without any local complications. In conclusion we can say that absorbable suture material allows formation of safety vascular anastomoses and doesn't impair growth of anastomoses.
在生长中的生物体中进行血管手术仍然存在问题。特别是在主动脉缩窄的外科治疗中,如果使用不可吸收的聚丙烯和连续缝合技术,有记录显示再狭窄率很高。从理论上讲,可吸收缝合材料允许采用连续缝合技术,且再狭窄率较低。我们的研究比较了可吸收(聚乙醇酸和聚二氧杂环己酮)和不可吸收(聚丙烯)缝合材料在生长中的犬类主动脉修复中的应用。使用可吸收缝合材料进行的吻合术后一年显示出非常好的功能结果,且无任何局部并发症。总之,我们可以说可吸收缝合材料能够形成安全的血管吻合,且不会损害吻合口的生长。