Strattice: Q&A
Ask a Question
Are Permanent Sutures Necessary when Using Strattice in a Breast Aug Revision?
Are Permanent Sutures Necessary when Using Strattice in a Breast Aug Revision?
Tags:
10 Doctor Answers |
Asked by
unique1019
+2
Absorbable sutures work well with Strattice.
Permanent sutures are not necessary with Strattice. Strattice is an acellular dermal matrix made from pig skin. The skin is processed to remove all cells from the skin leaving essentially a scaffold of collagen. When placed into the body, the surrounding tissue will grow blood vessels into the Strattice and "incorporate" this dermal matrix. This will also occur wherever it is attached to the chest wall. The sutures are placed to keep the Strattice in position long enough for this...
more
+1
You dont need permanent sutures
Now you dont need pernanent sutures with Stratice. also remember alloderm and autoderm
+1
Strattice and use of Sutures for Breast Augmentation Revisionary Surgery?
Thank you for the question.
I do not think that the type of suture used to secure acellular dermal matrix is of critical importance. I do however use permanent suture when performing capsulorrhaphy (which is often done at the same time as placement of acellular dermal matrix) for correction of implant malposition.
I hope this helps.
+1
Sutures and strattice
I often use absorbable sutures that last long enought for the strattice or alloderm to adhere and incoroporate to the tissues.
+1
Suture
Surgeons have their own preference but using dissolvable sutures can minimize the risk that patients will feel the suture knots if permanent. This risk is rare but can happen especially if you are thin. Dissolvable sutures will stay in place long enough for the Strattice to incorporate into your tissue.
+1
Sutures for Strattice is a personal choice
There is no right or wrong approach to fixing Strattice into position for breast augmentation revision. We happen to use a dissolving suture, as we expect the Strattice in incorporate and fuse in with the tissue, and the dissolving suture will hold on long enough for that purpose.
+1
Use of Strattice in Breast Augmentation Revisions
The use of permanent sutures in breast augmentation with Strattice needs to be customized to the patient for their particular needs. In most cases, I used a combination of permanent sutures and dissolvable sutures depending on the location of the sutures. Also, it is important that if you are using permanent sutures that they are placed in a way to minimize feeling them through the skin - such as deep to the Strattice or under a layer of dissolvable sutures.
Good Luck.
more
+1
Non absorbable sutures not neccesary
I prefer the use in long lasting absorbable sutures with strattice. The idea is that Strattice will get incorporate before the suture is completely absorbed. The obviates the need of permanent sutures. While this is a decision for your surgeon you may want to discuss this with him or her. I believe Strattice is a great addition to the options for correction of implants. Good luck.
+1
Strattice and permanent sutures
Use of permanent sutures with Strattice is a personal decision by the surgeon. I do not use permanent sutures with Strattice. I taught a series of sessions this last weekend in San Francisco with Allen Gabriel from Vancouver, Washington about the use of Strattice and the discussion came up about how you suture the Strattice in. We all used absorbable sutures.
+1
Sutures for Strattice in breast revision
The choice of suture material is based on the surgeon's judgment when using an acellular dermal matrix such as Strattice or Alloderm for revision breast surgery. Strattice becomes incorporated as living tissue over a period of weeks, so long-term that is what secures it. If it didn't incorporate it wouldn't matter whether the sutures were permanent or not. I use slow-dissolving sutures.
Comments (0)