Which Suture to Choose in Hepato-Pancreatic-Biliary Surgery? Assessment of the Influence of Pancreatic Juice and Bile on the Resistance of Suturing Materials-In Vitro Research

肝胰胆外科手术应选择哪种缝合线?胰液和胆汁对缝合材料抗性影响的评估-体外研究

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作者:Marcin Gierek, Katarzyna Merkel, Gabriela Ochała-Gierek, Paweł Niemiec, Karol Szyluk, Katarzyna Kuśnierz

Background

The choice of appropriate surgical suture during operation is of great significance. Currently, there are no

Conclusions

The study indicated that sutures made of polydioxanone had the best qualities during the entire experiment.

Methods

This fact leads one to conduct research concerning the resistance of the sutures (Polydioxanone, Poliglecaprone, Poliglactin 910, and their analogues coated with antibacterial triclosan) in the environment of sterile and contaminated bile and pancreatic juice. Tensile strength was tested at days 0, 7, 14, 21, and 28 of research. The study was performed in in vitro conditions for 28 days. (3)

Results

Pancreatic juice and bile has a significant influence on the tensile strength of each suture. (4) Conclusions: The study indicated that sutures made of polydioxanone had the best qualities during the entire experiment.

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