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PubMedDate not supplied

[Experimental evaluation of 4 different suture materials in colo-colic anastomoses (in the rat)].

The Authors carry out an experimental comparative study on four different suture materials (collagen cromic, polyglactin 910, PDS and nylon), used to perform end-to-end colonic anastomoses. They assess the resistence to the endoluminar pressure. The results show that during the first four days the anastomoses performed with PDS display a vere high resistence, while those with collagen cromic exhibit still lower value than Vicryl and nylon. After eleven days the anastomoses with the PDS show most resistence again, but the other three materials get similar value.

Anastomosis, Surgical↗
PubMed1985

[Use of absorbable suture material in dermatologic surgery].

Absorbable synthetic suture material (Vicryl, PDS) alone was used for wound closure in 1860 surgical interventions on the skin. The PDS suture is totally inert in intracutaneous tissue, and proved superior to the Vicryl suture. In combination, PDS sutures can also be used intracutaneously as well as conventionally. Additional advantages of absorbable material are the possibility of meandering and everted stitches in continuous intracutaneous sutures, no need for removal in most cases, and avoidance of intracutaneous scar dehiscences because of the good durability of the suture material.

Adult↗
PubMed1984

[Experimental study of an absorbable hemostatic clip].

A new absorbable hemostatic clip was investigated by a study in the rat. The reliability and innocuity of the clip were similar to that of the metallic clips from the clinical point of view. Its absorbability and radiotransparency qualities make it the method of choice for ensuring hemostasis and lymphostasis when long-term follow-up investigations involve modern radiological techniques such as computed tomography.

Animals↗
PubMed1984

[New synthetic resorbable suture material in animal experiments and in clinical testing].

This new synthetic absorbable suture material has been tested in 90 animal experiments (Wistar rats) with regard to tissue reaction, absorption and breaking strength. The data obtained were compared with Polyglactin 910 (Vicryl), Catgut plain and polyester fibres. PDS-sutures produced only a minimal tissue reaction and were completely resorbed after 168 days. They retained 50% of its breaking strength until the 40th day after implantation.

Absorption↗
PubMed1982

Absorbable ligating clips.

Surgical clips have gained wide spread acceptance because of speed and utility in operative fields with difficult exposure. Certain disadvantages make metallic clips less than optimal for many operative situations. Such problems include difficulty in loading metallic clips into the applier, clips falling from the applier in the transfer from nurse to surgeon or while the surgeon is positioning the clip for application and clips coming off a vessel to which it was applied. The interference which metallic clips produce in computerized tomography and their permanency must be added as factors to be evaluated in comparison with absorbable clips.

Chemical Phenomena↗
PubMed1982

[Tendon sutures with a new monofilament synthetic absorbable suture material (PDS-suture of 6-0 strength). Results of animal experiments].

The absorbable synthetic suture (PDS suture 6-0 with spatula needle) was examined by experiments on the tendon of the M. flexor digitorum pedis communis of the hare. A total of 34 tendon sutures was prepared histologically and evaluated. The new suture material is distinguished by greatly extended absorption time, low foreign body reaction and an improved tensile strength. With this suture, the conditions in which absorbable suture material can be used are increased. This is particularly true of so-called bradytrophic tissue.

Animals↗
PubMedDate not supplied

Reconstruction of complete acromioclavicular separations (Tossy III) using PDS-banding as augmentation: experience in 64 cases.

Sixty-four patients with an acute type Tossy III acromioclavicular separation were treated surgically. Both the coracoclavicular ligaments and the ligaments of the acromioclavicular joint were reconstructed. An additional ligamenteous augmentation was performed, using completely resorbable 5 and 10 mm PDS bands. Thirty-nine patients (61%) were reexamined (follow-up time 2-45 months, mean 26 months). Results were good to excellent in 77% of cases. In 91% of patients, a range of motion with an abduction deficit of less than 20 degrees was obtained. Calcifications in the area of the coracoclavicular or acromioclavicular ligaments did not affect the final range of motion. Complications consisted of a subcutaneous infection in one case, a deep infection in another patient and one reluxation. PDS banding enables an early functional postoperative treatment. Implant removal is not required. Complications as breakage or migration of metal implants are avoided.

Acromioclavicular Joint↗
PubMed1994

[Management of complete acromioclavicular dislocation with resorbable fixation material (PDS cord)].

The complete acromioclavicular dislocation impairs the motility of the shoulder girdle. The surgical transfixation of the AC-joint with a screw, with K-wires or with special plates has a quite high complication rate and requires a second operation. We suggest the dynamic augmentation of the sutured ligaments with a coracoclavicular and an acromioclavicular PDS-cord cerclage. The paper presents the results of a follow-up examination of 10 patients.

Acromioclavicular Joint↗
PubMed1994

Localized ridge augmentation using absorbable pins and e-PTFE barrier membranes: a new surgical technique. Case reports.

This paper presents a new surgical technique to promote bone formation in localized alveolar ridge defects. The objective was to regenerate sufficient bone volume for implant placement. The technique is dependent on careful defect debridement and the use of absorbable orthopedic pins, which serve as tent poles and prevent the e-PTFE barrier membranes from collapsing into the defects. The three defects treated with this technique were completely resolved with new bone, and implants were successfully placed into the augmented ridges. Biopsies from the treated sites revealed new bone formation.

Adult↗
PubMed1993

[Surgical management of complete acromioclavicular joint dislocation (Tossy III) with PDS cord cerclage].

29 patients out of 33 with complete acromioclavicular dislocation treated with sewing of ligaments and stabilized with a PDS-cord cerclage could be examined. The criteria of examination were subjective complaints while lifting weight, limited range of motion in the injured shoulder and radiological results after stress with 8 kp. The examination didn't show any relationship between the 3 parameters. 4 patients with poor function had partly no, partly little complaints and if any only little AC-dislocation. On the other hand 4 patients out of 6 with remaining AC-subluxation had no complaints and in no case there was a reduced range of motion greater than 10 degrees. Three patients got postoperative infection of soft tissue or bone, probably caused by incompatibility with PDS-cord, which led to a fair or poor outcome. Instead of this there can be obtained excellent and good results in 75-85% of the cases with this simple method without inserting stabilizing metals trans- or extraarticular.

Acromioclavicular Joint↗
PubMed1994

Basic suture materials and suturing techniques.

There is a need for surgeons to be able to make a logical decision regarding which suture materials to use in a given clinical situation because the choice of wound-closure materials may make a difference in wound healing and the ultimate functional and cosmetic result obtained. This article will review the basic physical, handling, and tissue-reaction characteristics of commonly used suture materials. Basic suturing techniques are also reviewed. Knowledge of multiple suturing techniques provides versatility, individuality, and optimal closure of surgical wounds.

Absorption↗
PubMed1994

[Two-line triceps surae augmentation-plasty. An alternative treatment concept in surgery of Achilles tendon rupture].

From January 1990 to December 1992 a total of 62 patients with subcutaneous Achilles tendon ruptures underwent surgical treatment. The majority of ruptures were caused by sports injuries. In a retrospective study, 25 cases who had a two-line triceps surae augmentation graft in addition to standard repair were evaluated. The functional results after 6-24 months were studied with reference to the patients' activity and graded according to the classification of Trillat. This alternative treatment concept gave excellent functional results. Surgical treatment of Achilles tendon ruptures, if necessary for reconstruction with a primary graft for augmentation, remains the appropriate therapy.

Achilles Tendon↗