Influence of suture technique and suture material selection on the mechanics of end-to-end and end-to-side anastomoses
Experiments were performed in dogs to evaluate the mechanics of 26 end-to-end and 42 end-to-side artery-vein graft anastomoses constructed with continuous polypropylene sutures (Surgilene; Davis & Geck, Division of American Cyanamid Co., Danbury, Conn.), continuous polybutester sutures (Novafil;...
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Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 1996-05, Vol.111 (5), p.1063-1072 |
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creator | Baumgartner, Norbert Dobrin, Philip B. Morasch, Mark Dong, Quan-Sheng Mrkvicka, Robert |
description | Experiments were performed in dogs to evaluate the mechanics of 26 end-to-end and 42 end-to-side artery-vein graft anastomoses constructed with continuous polypropylene sutures (Surgilene; Davis & Geck, Division of American Cyanamid Co., Danbury, Conn.), continuous polybutester sutures (Novafil; Davis & Geck), and interrupted stitches with either suture material. After construction, the grafts and adjoining arteries were excised, mounted in vitro at in situ length, filled with a dilute barium sulfate suspension, and pressurized in 25 mm Hg steps up to 200 mm Hg. Radiographs were obtained at each pressure. The computed cross-sectional areas of the anastomoses were compared with those of the native arteries at corresponding pressures. Results showed that for the end-to-end anastomoses at 100 mm Hg the cross-sectional areas of the continuous Surgilene anastomoses were 70% of the native artery cross-sectional areas, the cross-sectional areas of the continuous Novafil anastomoses were 90% of the native artery cross-sectional areas, and the cross-sectional areas of the interrupted anastomoses were 107% of the native artery cross-sectional areas (
p < 0.05). At physiologic pressures, there were no differences in compliance among the three types of anastomosis. These data suggest that when constructing an end-to-end anastomosis in a small vessel, one should use an interrupted suture line or possibly continuous polybutester suture. Forty-two end-to-side anastomoses demonstrated no differences in cross-sectional areas or compliance for the three suture techniques. This suggests that, unlike with end-to-end anastomoses, when constructing an end-to-side anastomosis in patients any of the three suture techniques may be acceptable. (J T
HORAC C
ARDIOVASC S
URG 1996;111:1063-72) |
doi_str_mv | 10.1016/S0022-5223(96)70383-5 |
format | Article |
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p < 0.05). At physiologic pressures, there were no differences in compliance among the three types of anastomosis. These data suggest that when constructing an end-to-end anastomosis in a small vessel, one should use an interrupted suture line or possibly continuous polybutester suture. Forty-two end-to-side anastomoses demonstrated no differences in cross-sectional areas or compliance for the three suture techniques. This suggests that, unlike with end-to-end anastomoses, when constructing an end-to-side anastomosis in patients any of the three suture techniques may be acceptable. (J T
HORAC C
ARDIOVASC S
URG 1996;111:1063-72)</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/S0022-5223(96)70383-5</identifier><identifier>PMID: 8622304</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Anastomosis, Surgical - methods ; Animals ; Biological and medical sciences ; Biomechanical Phenomena ; Dogs ; In Vitro Techniques ; Medical sciences ; Polyesters ; Polypropylenes ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Sutures ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Vascular Surgical Procedures - methods</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 1996-05, Vol.111 (5), p.1063-1072</ispartof><rights>1996 Mosby, Inc.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-6ca4905cc92ad1e3cb6277befae78652e91d44c22736c09eeb847dac0c96dfec3</citedby><cites>FETCH-LOGICAL-c469t-6ca4905cc92ad1e3cb6277befae78652e91d44c22736c09eeb847dac0c96dfec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-5223(96)70383-5$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3093510$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8622304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baumgartner, Norbert</creatorcontrib><creatorcontrib>Dobrin, Philip B.</creatorcontrib><creatorcontrib>Morasch, Mark</creatorcontrib><creatorcontrib>Dong, Quan-Sheng</creatorcontrib><creatorcontrib>Mrkvicka, Robert</creatorcontrib><title>Influence of suture technique and suture material selection on the mechanics of end-to-end and end-to-side anastomoses</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Experiments were performed in dogs to evaluate the mechanics of 26 end-to-end and 42 end-to-side artery-vein graft anastomoses constructed with continuous polypropylene sutures (Surgilene; Davis & Geck, Division of American Cyanamid Co., Danbury, Conn.), continuous polybutester sutures (Novafil; Davis & Geck), and interrupted stitches with either suture material. After construction, the grafts and adjoining arteries were excised, mounted in vitro at in situ length, filled with a dilute barium sulfate suspension, and pressurized in 25 mm Hg steps up to 200 mm Hg. Radiographs were obtained at each pressure. The computed cross-sectional areas of the anastomoses were compared with those of the native arteries at corresponding pressures. Results showed that for the end-to-end anastomoses at 100 mm Hg the cross-sectional areas of the continuous Surgilene anastomoses were 70% of the native artery cross-sectional areas, the cross-sectional areas of the continuous Novafil anastomoses were 90% of the native artery cross-sectional areas, and the cross-sectional areas of the interrupted anastomoses were 107% of the native artery cross-sectional areas (
p < 0.05). At physiologic pressures, there were no differences in compliance among the three types of anastomosis. These data suggest that when constructing an end-to-end anastomosis in a small vessel, one should use an interrupted suture line or possibly continuous polybutester suture. Forty-two end-to-side anastomoses demonstrated no differences in cross-sectional areas or compliance for the three suture techniques. This suggests that, unlike with end-to-end anastomoses, when constructing an end-to-side anastomosis in patients any of the three suture techniques may be acceptable. (J T
HORAC C
ARDIOVASC S
URG 1996;111:1063-72)</description><subject>Anastomosis, Surgical - methods</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Dogs</subject><subject>In Vitro Techniques</subject><subject>Medical sciences</subject><subject>Polyesters</subject><subject>Polypropylenes</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Sutures</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Vascular Surgical Procedures - methods</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQhkVpSDdpf0LAh1KSg1vJsmTrVEroRyCQQ1roTWhH466CP1KNnNJ_H3nX3WtBIDTzvK9Grxi7EPy94EJ_uOe8qkpVVfLS6KuGy1aW6gXbCG6aUrfq50u2OSKv2BnRA-e84cKcstNW5yKvN-zpZuz6GUfAYuoKmtMcsUgIuzH8nrFwo_9XHFzCGFxfEPYIKUxjkVfa5U7G3RiAFgscfZmmMm978Xqk4BczR2kaJkJ6zU461xO-Wfdz9uPL5-_X38rbu683159uS6i1SaUGVxuuAEzlvEAJW101zRY7h02rVYVG-LqGqmqkBm4Qt23deAccjPYdgjxn7w6-j3HK76Fkh0CAfe9GnGayTZsjElJmUB1AiBNRxM4-xjC4-NcKbpe87T5vu4Rpjbb7vK3Kuov1gnk7oD-q1oBz_-3adwSu76IbIdARk9xIJXjGLg_YLvza_QkRLQ2u77OpsA8JSAhhVZ5DL5N-PKCYc3sKGC1BWD7QZxkk66fwn5mfATMyrDU</recordid><startdate>19960501</startdate><enddate>19960501</enddate><creator>Baumgartner, Norbert</creator><creator>Dobrin, Philip B.</creator><creator>Morasch, Mark</creator><creator>Dong, Quan-Sheng</creator><creator>Mrkvicka, Robert</creator><general>Mosby, Inc</general><general>AATS/WTSA</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960501</creationdate><title>Influence of suture technique and suture material selection on the mechanics of end-to-end and end-to-side anastomoses</title><author>Baumgartner, Norbert ; Dobrin, Philip B. ; Morasch, Mark ; Dong, Quan-Sheng ; Mrkvicka, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-6ca4905cc92ad1e3cb6277befae78652e91d44c22736c09eeb847dac0c96dfec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Anastomosis, Surgical - methods</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Dogs</topic><topic>In Vitro Techniques</topic><topic>Medical sciences</topic><topic>Polyesters</topic><topic>Polypropylenes</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Sutures</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Vascular Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baumgartner, Norbert</creatorcontrib><creatorcontrib>Dobrin, Philip B.</creatorcontrib><creatorcontrib>Morasch, Mark</creatorcontrib><creatorcontrib>Dong, Quan-Sheng</creatorcontrib><creatorcontrib>Mrkvicka, Robert</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baumgartner, Norbert</au><au>Dobrin, Philip B.</au><au>Morasch, Mark</au><au>Dong, Quan-Sheng</au><au>Mrkvicka, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of suture technique and suture material selection on the mechanics of end-to-end and end-to-side anastomoses</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>1996-05-01</date><risdate>1996</risdate><volume>111</volume><issue>5</issue><spage>1063</spage><epage>1072</epage><pages>1063-1072</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Experiments were performed in dogs to evaluate the mechanics of 26 end-to-end and 42 end-to-side artery-vein graft anastomoses constructed with continuous polypropylene sutures (Surgilene; Davis & Geck, Division of American Cyanamid Co., Danbury, Conn.), continuous polybutester sutures (Novafil; Davis & Geck), and interrupted stitches with either suture material. After construction, the grafts and adjoining arteries were excised, mounted in vitro at in situ length, filled with a dilute barium sulfate suspension, and pressurized in 25 mm Hg steps up to 200 mm Hg. Radiographs were obtained at each pressure. The computed cross-sectional areas of the anastomoses were compared with those of the native arteries at corresponding pressures. Results showed that for the end-to-end anastomoses at 100 mm Hg the cross-sectional areas of the continuous Surgilene anastomoses were 70% of the native artery cross-sectional areas, the cross-sectional areas of the continuous Novafil anastomoses were 90% of the native artery cross-sectional areas, and the cross-sectional areas of the interrupted anastomoses were 107% of the native artery cross-sectional areas (
p < 0.05). At physiologic pressures, there were no differences in compliance among the three types of anastomosis. These data suggest that when constructing an end-to-end anastomosis in a small vessel, one should use an interrupted suture line or possibly continuous polybutester suture. Forty-two end-to-side anastomoses demonstrated no differences in cross-sectional areas or compliance for the three suture techniques. This suggests that, unlike with end-to-end anastomoses, when constructing an end-to-side anastomosis in patients any of the three suture techniques may be acceptable. (J T
HORAC C
ARDIOVASC S
URG 1996;111:1063-72)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>8622304</pmid><doi>10.1016/S0022-5223(96)70383-5</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anastomosis, Surgical - methods Animals Biological and medical sciences Biomechanical Phenomena Dogs In Vitro Techniques Medical sciences Polyesters Polypropylenes Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Sutures Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Vascular Surgical Procedures - methods |
title | Influence of suture technique and suture material selection on the mechanics of end-to-end and end-to-side anastomoses |
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