Gastrointestinal Surgical Techniques in Small Animals. Группа авторов

Intermediate absorbable multifilament Phagocytosis and proteolytic enzymes Moderate Unpredictable Fair Variable; 45–60 d or longer Degradation and tissue reactivity related to where implanted; knots imbibe fluid and unravel if knot ears are cut short Polyglactin 910 Vicryl Rapide Rapid absorbable multifilament Hydrolysis Mild 50% after 5 d; 0% after 14 d Fair to good 42 Irradiated to aid in dissolving Vicryl, Coated Vicryl Plus Intermediate absorbable multifilament Hydrolysis Mild 75% after 14 d; 50% after 21 d Fair to good 56–70 Plus designates triclosan (antibacterial) impregnated Lactomer Polysorb (coated) Intermediate absorbable multifilament Hydrolysis Mild 80% after 14 d; 30% after 21 d Fair to good 56–70 Improvements in braid construction and coating reduce drag and improve knot security Velosorb (coated) Rapid absorbable multifilament Hydrolysis Mild 60% at 5 d; 0% at 14 d Fair to good 40–50 Irradiated to aid in dissolving; similar to Vicryl Rapide Polyglycolic Acid Dexon S (uncoated), Dexon II (coated) Intermediate absorbable multifilament Hydrolysis Mild 65% after 14 d; 35% after 21 d Fair to good 60–90 Coated Dexon II helps reduce drag, but decreases knot security Polyglytone 6211 Caprosyn Rapid to intermediate absorbable monofilament Hydrolysis Minimal 60% after 5 d; 20–30% after 10 d Fair 56 Knots have been known to untie spontaneously when incubated in serum; supple easy to handle for monofilament; fastest mass absorption of absorbable monofilaments Polygliocaprone 25 Monocryl Rapid to intermediate absorbable monofilament Hydrolysis Minimal 50–60% after 7 d; 20–30% after 14 d; 0% after 21 d Good 91–119 Supple easy to handle for monofilament. Polyglycolic Acid/Polycaprolactone Quill Monoderm Intermediate absorbable monofilament barbed Hydrolysis Slight 42–76% at 7 d; 36–52% at 14 d N/A 90–120 Uni‐ and bidirectional barbed suture; choose one size larger due to strength loss from barbs. Slightly higher tissue reaction than V‐Loc 90. Stratafix PGA‐PCL Plus (barbed) Rapid to intermediate absorbable monofilament barbed Hydrolysis Minimal 50–60% after 7 d; 20–30% after 14 d; 0% after 21 d N/A 90–120 Stratafix Monocryl comes with spiral barbs; uni‐ or bidirectional. Plus – antibacterial Glycomer 631 Biosyn Intermediate absorbable monofilament Hydrolysis Minimal 75% after 14 d; 40% after 21 d Average 110 Knots occasionally untie spontaneously V‐Loc 90 Intermediate absorbable monofilament barbed Hydrolysis Minimal 90% at 7 d; 75% at 14 d N/A 90 Unidirectional barbed suture; equivalent to strength of suture one size smaller – choose size as you would conventional suture Polyglyconate Maxon Prolonged absorbable monofilament Hydrolysis Minimal 81% after 14 d; 59% after 28 d; 30% after 42 d Good 180 Similar to PDS II; tends to have slightly more memory in larger sizes Polydioxanone PDS II; PDS Plus Prolonged absorbable monofilament Hydrolysis Minimal 74% after 14 d; 58% after 28 d; 41% after 42 d Good 180 Plus designates triclosan (antibacterial) impregnated V‐Loc 180 Prolonged absorbable monofilament barbed