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Ann Thorac Surg 1991;51:636-641
© 1991 The Society of Thoracic Surgeons

Articles

Growth of tracheal anastomoses: Advantage of absorbable interrupted sutures

Peter P. McKeown, FRCS(C), FRACS*, Hidetoshi Tsuboi, MD, Takao Togo, MD, Robert Thomas, BA, Richard Tuck, BA, David Gordon, MD

Division of Cardiothoracic Surgery, Department of Surgery, and Department of Pathology, University of Washington, Seattle, Washington USA

Accepted for publication December 28, 1990.

* Address reprint requests to Dr McKeown, Division of Caidiothoracic Surgery, Department of Surgery, University of South Florida, 4 Columbia Dr, Suite 730, Tampa, FL 33606.

Growth of the trachea after complete transection and anastomosis was studied in four groups of 1-month-old New Zealand white rabbits. The trachea was transected at the fifth cartilaginous ring and then anastomosed with continuous 6-0 polypropylene (Prolene) (group 1), interrupted 6-0 polypropylene (group 2), continuous 6-0 polydioxanone (PDS) (group 3), or interrupted 6-0 PDS (group 4). The animals were followed up for 90 to 103 days (mean follow-up, 95 days). At the time the animals were killed, body weight had increased 125% (1.2 to 2.7 ± 0.18 kg). Growth of the trachea was assessed at the time of death. Results from this study suggest that growth of a tracheal anastomosis is retarded in a growing animal model. The degree of resultant stenosis was significantly less when an absorbable suture material (PDS) and an interrupted suturing technique were used.




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