An Experimental Comparison of Suture Materials for Tracheal and Bronchial Anastomoses

Peleg, H; Rao, Uma; Emrich, Lawrence J.

doi:10.1055/s-2007-1022179

Cited by 15 publications

(9 citation statements)

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“…Suture material selection is considered of lesser importance than suture pattern in tracheal end‐to‐end anastomosis with respect to outcome and degree of stenosis 9,11 . Studies examining effects of suture material selection in tracheal surgery (monofilament versus multifilament, absorbable versus nonabsorbable) have yielded conflicting results 9,12–14 and suture selection typically reflects surgeon preference. The ideal number of sutures for tracheal anastomosis has not been established.…”

Section: Discussionmentioning

confidence: 99%

“…Because tension is of primary concern in tracheal anastomosis, particularly after large‐segment resection, reported techniques that minimize tension include type of suture pattern 3,5–11 and material 11–15 ; tracheal dissection and mobilization 2,16,17 ; and use of a tracheal prosthesis 2,16,18,19 . Suture patterns described for end‐to‐end tracheal anastomosis in dogs and cats are simple interrupted, simple continuous, and horizontal mattress 4,16 .…”

Section: Introductionmentioning

confidence: 99%

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Pullout Strength for Three Suture Patterns Used for Canine Tracheal Anastomosis

2006

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pullout Strength for Three Suture Patterns Used for Canine Tracheal Anastomosis

2006

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“…Of note in the study was that inflammation was comparable to chromic collagen sutures. Peleg et al [40] drew a similar conclusion regarding the inflammatory potential of silk used in tracheal anastomosis in the rabbit without identifying the type of silk used. Of interest was a similar acute and chronic inflammatory response to Vicryl TM and Teflon TM coated polyester sutures in the study.…”

Section: In Vivo Biocompatibility Of Virgin Silkmentioning

confidence: 98%

Silk-based biomaterials

et al. 2003

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Silk from the silkworm, Bombyx mori, has been used as biomedical suture material for centuries. The unique mechanical properties of these fibers provided important clinical repair options for many applications. During the past 20 years, some biocompatibility problems have been reported for silkworm silk; however, contamination from residual sericin (glue-like proteins) was the likely cause. More recent studies with well-defined silkworm silk fibers and films suggest that the core silk fibroin fibers exhibit comparable biocompatibility in vitro and in vivo with other commonly used biomaterials such as polylactic acid and collagen. Furthermore, the unique mechanical properties of the silk fibers, the diversity of side chain chemistries for 'decoration' with growth and adhesion factors, and the ability to genetically tailor the protein provide additional rationale for the exploration of this family of fibrous proteins for biomaterial applications. For example, in designing scaffolds for tissue engineering these properties are particularly relevant and recent results with bone and ligament formation in vitro support the potential role for this biomaterial in future applications. To date, studies with silks to address biomaterial and matrix scaffold needs have focused on silkworm silk. With the diversity of silk-like fibrous proteins from spiders and insects, a range of native or bioengineered variants can be expected for application to a diverse set of clinical needs. r

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“…The suture at the laryngotracheal edge requires a delicate technique. The use of nonabsorbable ligatures for tracheal reconstruction can cause exuberant granulation and lead to postoperative tracheal stenosis [24]. Therefore, we used absorbable monofilament for larynx-trachea sutures.…”

Section: Discussionmentioning

confidence: 99%

A Novel Surgical Technique for Thyroid Cancer with Intra-Cricotracheal Invasion: Windmill Resection and Tetris Reconstruction

et al. 2013

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The most effective treatment for thyroid cancer (TC) invading into the larynx and trachea is a complete surgical resection of the tumor, but currently employed techniques are less than ideal. We report a novel surgical technique, which we named Windmill resection and Tetris reconstruction, for patients with TC invading into the laryngeal lumen. We treated eight cases of TC with invasion into the laryngeal lumen by Windmill resection and Tetris reconstruction. We analyzed complications, clinical data, and pathological findings for all patients. Patients included one man and seven women (mean age 69 ± 10 years). Histopathology of TC indicated papillary cancer in five patients, poorly differentiated cancer in one patient, anaplastic cancer in one patient, and squamous cell carcinoma in one patient. Unilateral recurrent laryngeal nerve (RLN) palsy was confirmed preoperatively by laryngoscope in four patients, and none had bilateral RLN palsy. All patients underwent Windmill resection and Tetris reconstruction along with total thyroidectomy (three patients), subtotal thyroidectomy (three patients), and lobectomy (two patients). Neck dissection was performed in all patients. The average resected length of the larynx and trachea was 29±6 mm. Air leakage at the suture line occurred in three patients; two required further surgery, while the third was closed by insertion of a Penrose drain. Postoperative RLN palsy occurred in five patients. Aspiration was observed in two patients and resolved within 4 weeks. Pneumonia, atelectasis, and pleural effusion occurred in some patients. No other complications, including hemorrhage, wound infection, or airway stenosis, occurred. There was no postoperative mortality and no recurrence at the anastomotic site. Two patients underwent permanent tracheostomy due to permanent bilateral RLN palsy. Two patients, one with anaplastic cancer and the other with poorly differentiated cancer, recurred 13 and 21 months after surgery, while patients with papillary thyroid cancer had no local recurrence. Importantly, laryngeal functions such as phonation and swallowing were preserved in all patients. This novel surgical technique may be as effective as window resection of the larynx for local control of TC and contributes to the quality of life of patients by resulting in a less unsightly surgical wound.

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An Experimental Comparison of Suture Materials for Tracheal and Bronchial Anastomoses

Cited by 15 publications

References 1 publication

Pullout Strength for Three Suture Patterns Used for Canine Tracheal Anastomosis

Pullout Strength for Three Suture Patterns Used for Canine Tracheal Anastomosis

Silk-based biomaterials

A Novel Surgical Technique for Thyroid Cancer with Intra-Cricotracheal Invasion: Windmill Resection and Tetris Reconstruction

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