Abstract
Purpose
The applicability of absorbable materials as ligatures of pulmonary vessels has not been described. The present study compares tissue reactions around sites of pulmonary arteries ligated with absorbable material (Vicryl) and with nonabsorbable material (silk).
Methods
Beagle dogs underwent thoracotomy and the pulmonary artery branches were ligated with silk or Vicryl under general anesthesia. The ligated arterial tissues were obtained at 4 and 8 weeks after thoracotomy and processed for pathological analysis.
Results
The arteries ligated using Vicryl or silk were clinically completely sealed at 4 weeks after ligation. More inflammation and granuloma were evident at tissues surrounding ligations made with silk than with Vicryl at 8 weeks. Hyperplasia of the arterial intima continued at 8 weeks after ligation with both Vicryl and silk sutures, although some hyperplasia similar to that in nonligated arterial intima appeared at 4 weeks after ligation.
Conclusion
Less inflammation and granuloma are caused at arterial tissues around ligations accomplished with absorbable Vicryl than those done with nonabsorbable silk sutures, although both are equally effective. Absorbable sutures might be suitable for ligating pulmonary arteries.
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References
Kronborg O. Polyglycolic acid (Dexson) versus silk for fascial closure of abdominal incision. Acta Chir Scand 1976;142: 9–12.
Togo S, Kubota T, Takahashi T, Yoshida K, Matsuo K, Morioka D, et al. Usefulness of absorbable sutures in preventing surgical site infection in hepatectomy. J Gastrointest Surg 2008;12:1041–1046.
Yaltirik M, Dedeoglu K, Bilgic B, Koray M, Ersev H, Issever H, et al. Comparison of four different suture materials in soft tissues of rats. Oral Dis 2003;9:284–286.
Brohim RM, Foresman PA, Rodeheaver GT. Development of independent vessel security after ligation with absorbable sutures or clips. Am J Surg 1993;165:345–349.
Gruber RP, Nahai F, Bogdan MA, Friedman GD. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures. II. Clinical results. Plast Reconstr Surg 2005;115:595–608.
Braun H. Ueber entzundiche Geschwulste des Netzes. Arch Klin Chir 1901;63:378.
Kurosaki S, Otsuka H, Kunimoto M, Koyama M, Pawankar R, Matumoto K. Fibrin allergy: IgE mediated hypersensitivity to silk suture material. J Nippon Med School 1999;66:41–44.
Helms CA, Clark RE. Post-herniorrhaphy suture granuloma simulating a bladder neoplasm. Radiology 1977;124:56.
Lilly GE, Cutcher JL, Jones JC, Armstrong JH. Reaction of oral tissue to suture materials. Oral Surg Oral Med Oral Pathol 1972;33:152.
Racey GL, Wallace WR, Cavalaris CJ, Marquard JV. Comparison of a polyglycolic-polylactic acid suture to black silk and plain catgut in human oral tissues. J Oral Surg 1978;36:766–770.
Christos P, Dionysios K, Michail S, Ioannis T, George B, Irene N, et al. The relationship between five kinds of laparoscopic knots and five types of suture materials and histological findings in tissues: an experimental study on rabbits. Surg Laparosc Endosc Percutan Tech 2003;13:202–207.
De Lagausie P, Bonnard A, Berrebi D, Petit P, Dorgeret S, Guys JM. Video-assisted thoracoscopic surgery for pulmonary sequestration in children. Ann Thorac Surg 2005;80: 1266–1269.
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Mimae, T., Hirayasu, T., Kimura, K.B. et al. Advantage of absorbable suture material for pulmonary artery ligation. Gen Thorac Cardiovasc Surg 58, 511–515 (2010). https://doi.org/10.1007/s11748-010-0608-9
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DOI: https://doi.org/10.1007/s11748-010-0608-9