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[Microsurgical nerve and blood vessel sutures using a resorbable suture material]
Zeitschrift Fur Plastische Chirurgie
|June 1, 1980
Summary
Vicryl sutures are superior for nerve repair compared to Ethilon, showing better outcomes as they absorb. This microsurgical study found no suture failures in rat carotid artery and sciatic nerve repairs.
Area of Science:
- Microsurgery
- Surgical Suture Materials
- Histology
Context:
- Microsurgical anastomosis of the rat carotid artery (A. carotis) and sciatic nerve (N. ischiadicus) were performed.
- Comparison between nonabsorbable Ethilon and absorbable Vicryl suture materials (0.2 metric).
Purpose:
- To evaluate the efficacy and outcomes of absorbable versus nonabsorbable suture materials in microsurgical nerve and vessel repair.
- To assess suture integrity, absorption rates, and impact on axonal regeneration and degeneration.
Summary:
- No suture insufficiencies were observed with either Ethilon or Vicryl in either nerve or vessel repairs.
- Vicryl sutures demonstrated complete absorption within 70-84 days post-surgery.
- Vicryl proved superior for nerve sutures, reducing axonal displacement and subsequent degeneration in the granuloma area as absorption progressed.
Impact:
- Absorbable sutures like Vicryl may offer advantages in nerve reconstruction by minimizing chronic foreign body reactions and promoting better axonal healing.
- Findings suggest Vicryl as a potentially superior option for microsurgical nerve anastomosis compared to nonabsorbable materials like Ethilon.