[Esthetic suture of the lower limbs after a saphenous vein graft in cardiac surgery. Polydioxanone vs Vicryl].
The vena saphena magna is widely used as a passage during myocardial revascularisation surgery (CABG). The preparation of the vein involves a long incision on the thigh and leg which is routinely closed using a continuous suture thread in Vicryl of the subcutis and continuous intradermal suture of the cutis. The authors retrospectively evaluated the functional and esthetic results of intradermal suture performed using two different types of reabsorbable thread: PDS II and Vicryl. A total of 178 patients underwent CABG surgery at the Heart Surgery Division of Tor Vergata University of Rome during the period January-September 1992. Mean age was 63 year +/- 7 (SD), 140 were males and 38 females. PDS II 3/0 was used for intradermal suture in 88 patients, whereas Vicryl 3/0 was used in 90. There were no significant differences between the two groups with regard to age, sex, number of grafts, associated pathologies or wound length. After 1-9 months (mean 5.6 months) the surgical wound on the saphenectomized limb was evaluated. It was found that compared to Vicryl the use of PDS II presented a higher incidence of keloids (p > 0.05). This was probably due to the greater reaction provoked in the dermis by the monofilament compared to twisted thread. The authors conclude that the use of a reabsorbable twisted thread, such as Vicryl or Vicryl Rapid, is preferable owing to the higher rate of compliance and lower incidence of complications.
Actis Dato
G M
GM
Divisione di Cardiochirurgia, Università degli Studi di Roma Tor Vergata.
Persiani
M
M
Bassano
C
C
Ricci
A
A
Pierri
M D
MD
Pellegrino
A
A
D000368:Aged; D006348:Cardiac Surgical Procedures; D004954:Esthetics; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016687:Polydioxanone; D011098:Polyglactin 910; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000637:transplantation*; D013536:Suture Techniques; D013537:Sutures
D016687:Polydioxanone; D011098:Polyglactin 910
Sutura estetica degli arti inferiori dopo prelievo della vena safena in cardiochirurgia. Polidiossanone vs Vicryl.