Maxon is an Optimal Suture for Bile Duct Anastomoses in Pigs
Baker, Robert Ashley
Saccone, Gino Tony
Harvey, John R
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Background. Three commonly used sutures were tested in a pig model of bile duct anastomosis to assesstheir relative contributions to inflammation and scarring.Methods. Thirty pigs were randomised to bile duct division and anastomosis with either polyglyconate(Maxon), polyglactin 910 (Vicryl) or polypropylene (Prolene). Half the animals were sacrificed at twoweeks and the remainder at 23 weeks. Anastomoses were assessed by cholangiography, scanningelectron microscopy and light microscopy.Results. There was less short term histological reaction with the two monofilament materials, Proleneand Maxon, compared to the braided suture Vicryl. Maxon was associated with less long terminflammation than Prolene, was found to handle better, and has an advantage over Prolene by beingabsorbable.Conclusion. Maxon is an optimal suture for bile duct anastomoses. Its long term absorptioncharacteristics make it suitable for situations where bile duct healing may be delayed.
Copyright © 1993 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.