[Trial of a synthetic absorbable suture, Polyglactin 910, in 100 urologic patients]

The authors studied the clinical tolerance of Polyglactine 910 (Vicryl) in 100 patients operated upon for urological disorders. The operations were mostly for ureterovesical reimplantations to treat reflux, pyelocaliceal kidney stones and ureteral calculi, and prostatic adenomectomy. The suture appears to be solid, and the knots do not loosen. It slides badly however and is not easy to manipulate. When used to close cavity walls this solid suture did not cause a higher percentage of abscess than catgut, when used to suture the urinary excretory tract the authors observed, in one case only, multiple calcification around the ureterovesical suture points and those used to close the bladder. The suture is not suitable for vaginal repair operations during the surgical treatment of incontinence. The authors conclude by defining the properties of a suture they would like to see become available: one which has the same solidity, is easier to manipulate, slides more easily, and, above all, has a different texture: a monofilament rather than a braided suture.