Nushell 0 prolene suture12/13/2023 ![]() A size 4-0 nylon suture on a 60mm straight reverse cutting needle. A size 3-0 Vicryl Rapide (gamma-irradiated polygalactin 910) suture on a 19mm 3/8ths of a circle cutting needle. Newer sutures that have a larger diameter of suture relative to needle should be developed for use in dural repair.Ĭerebral spinal fluid leak Complication: spinal surgery Dural repair Fibrin glue Incidental durotomy.Ĭopyright © 2015 Elsevier Inc. A size 4-0 Prolene (polypropylene) suture on two 22mm 1/2 circle taperpoint needles. If a watertight seal cannot be obtained, a hydrogel or a fibrin sealant will immediately improve the strength of repair. There was an 80% reduction in leak area with the hydrogel and cyanoacrylic sealants compared with only a 38% reduction with fibrin glue however, there was no statistical difference between the leak rates using any of the sealants.Ħ-0 Prolene using either interrupted or locked techniques was the best at creating watertight closure of an incidental durotomy. In most cases, leakage occurred from the needle holes around sutures. We found no significant differences in the flow rate between the interrupted and continuous locked sutures. The study was funded from an intramural departmental grant.Ħ-0 Prolene was found to have significantly decreased leakage flow rate than 5-0 surgilon. ![]() The percent reduction of leak area was determined for the sealants and compared using ANOVA. The leakage flow rate was compared among suture groups using analysis of variance (ANOVA). We compared surgical repair between 5-0 surgilon and 6-0 prolene suture, continuous locked versus interrupted suture, and the effectiveness of three adhesives hydrogel, cyanoacrylate, and fibrin glue. PROLENE Monofilament Polypropylene Suture Needle length and description Length Colour Gauge 2-0 3 0 3. ![]() To compare the hydrostatic strength of dural repair using various suture sizes, closure techniques, and adhesives.Ī novel in vitro hydrostatic calf spine model.ĭural leakage as a function of hydrostatic pressure and leak area. This is treated with watertight suture repair, often combined with a sealant. ![]() Incidental durotomy occurs in 1% to 17% of lumbar spine surgery. ![]()
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