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Clinical experience with polydioxanone monofilament absorbable sutures in plastic surgery
Plastic and Reconstructive Surgery
|August 1, 1983
Summary
This study found polydioxanone surgical sutures to be superior to gut sutures in handling and strength for plastic surgery. While visibility was lower, polydioxanone offers benefits for wound support and potentially infected wounds.
Area of Science:
- Surgical Materials Science
- Biomaterials Engineering
- Plastic Surgery
Background:
- Polydioxanone (PDS) is a synthetic absorbable monofilament suture.
- Traditional sutures like surgical gut have limitations in handling and infection risk.
Purpose of the Study:
- To evaluate the clinical performance of undyed monofilament polydioxanone surgical suture.
- To compare PDS suture properties against traditional surgical gut.
Main Methods:
- Prospective clinical assessment of PDS suture in 52 plastic surgery patients.
- Evaluation of suture characteristics including pliability, tissue passage, tying ease, strength, and handling.
- Follow-up observations for at least 40 days.
Main Results:
- Clinical results were rated excellent in 39 patients and satisfactory in 13.
- PDS suture demonstrated significant advantages over gut in pliability, ease of passage, tying, strength, fray resistance, and overall handling.
- Undyed PDS suture had inferior visibility compared to surgical gut.
Conclusions:
- Polydioxanone suture is a valuable option for extended wound support and potentially infected wounds due to its monofilament nature.
- Its handling properties make it suitable for procedures requiring precise knot placement.
- PDS represents a significant advancement in synthetic absorbable surgical sutures.