If the literature shows that it's not the sutures but the scar tissue that holds the diastasis repair together, why aren't more surgeons using long term dissolvable sutures? Permanent sutures or dissolvable
Answer: Permanent or Absorbable Sutures Thanks for your question. You are completely correct. The scar tissue which forms after abdominal plication holds things together. After some time, the permanent sutures become superfluous, or worse, a nidus for infection. Sutures should function like a house painter. They should do their job and then leave. Over the years, my practice has changes such that I prefer PDS sutures. They remain strong for months and slowly degrade. But in reality, surgeon preference is a personal thing, based on continuous study, and experience. I would not fault my colleagues for holding a different preference. If you are in search for a plastic surgeon to perform your abdominoplasty, feel free to ask their preferences and why they hold them. They should be frank.
Helpful 3 people found this helpful
Answer: Permanent or Absorbable Sutures Thanks for your question. You are completely correct. The scar tissue which forms after abdominal plication holds things together. After some time, the permanent sutures become superfluous, or worse, a nidus for infection. Sutures should function like a house painter. They should do their job and then leave. Over the years, my practice has changes such that I prefer PDS sutures. They remain strong for months and slowly degrade. But in reality, surgeon preference is a personal thing, based on continuous study, and experience. I would not fault my colleagues for holding a different preference. If you are in search for a plastic surgeon to perform your abdominoplasty, feel free to ask their preferences and why they hold them. They should be frank.
Helpful 3 people found this helpful
Answer: #realselfq: why aren't more surgeons using long term dissolvable sutures? I believe this problem refers to rectus abdominis muscle, and due to the tension that can be applied to the muscle during exercise and lifting, a lot of surgeons believe that permanent stitches will be more suitable.
Helpful 1 person found this helpful
Answer: #realselfq: why aren't more surgeons using long term dissolvable sutures? I believe this problem refers to rectus abdominis muscle, and due to the tension that can be applied to the muscle during exercise and lifting, a lot of surgeons believe that permanent stitches will be more suitable.
Helpful 1 person found this helpful
August 21, 2019
Answer: Fate of non-absorbable sutures used in diastasis repair Hi and welcome to our forum! Debate continues over the years regarding suture selection in rectus muscle repair. Non-absorbable sutures are usually reliable, maintaining tensile strength until scarring strength has reached its maximum. However, in some patients, an indolent infection may cause the suture to "spit". An inflammatory reaction drives the suture to the surface unless tethered by a deep structure in which case, there may be development of a sinus tract from skin to suture, requiring manual extraction. Absorbable sutures are somewhat unreliable as dissolution rates may vary from individual to individual. Rapid absorption before wound strength is sufficient may result in suture line disruption. Plastic surgeons are divided as to which is best...They base their decisions upon their lifelong experience. Visit a board certified plastic surgeon for evaluation and discussion. Best wishes...
Helpful 2 people found this helpful
August 21, 2019
Answer: Fate of non-absorbable sutures used in diastasis repair Hi and welcome to our forum! Debate continues over the years regarding suture selection in rectus muscle repair. Non-absorbable sutures are usually reliable, maintaining tensile strength until scarring strength has reached its maximum. However, in some patients, an indolent infection may cause the suture to "spit". An inflammatory reaction drives the suture to the surface unless tethered by a deep structure in which case, there may be development of a sinus tract from skin to suture, requiring manual extraction. Absorbable sutures are somewhat unreliable as dissolution rates may vary from individual to individual. Rapid absorption before wound strength is sufficient may result in suture line disruption. Plastic surgeons are divided as to which is best...They base their decisions upon their lifelong experience. Visit a board certified plastic surgeon for evaluation and discussion. Best wishes...
Helpful 2 people found this helpful
August 19, 2019
Answer: Do permanent sutures ever get rejected from the body as they are a foreign substance? I use a combination of permanent and absorbable sutures for the diastasis repair. Other surgeons will have preferences based upon their experience. Trust your board certified plastic surgeon to perform the surgery and oversee your post-operative care.
Helpful 1 person found this helpful
August 19, 2019
Answer: Do permanent sutures ever get rejected from the body as they are a foreign substance? I use a combination of permanent and absorbable sutures for the diastasis repair. Other surgeons will have preferences based upon their experience. Trust your board certified plastic surgeon to perform the surgery and oversee your post-operative care.
Helpful 1 person found this helpful
January 9, 2020
Answer: Permanent sutures for diastasis All suture types come with a price that the body must pay. Permanent sutures are not 'rejected' in the immunologic sense, but can erode through adjacent tissues, either above or below the sutures. Absorbable (non-permanent) sutures may not hold for long enough for a good tissue bond to form, and they may also cause an inflammatory reaction that causes its own problems.In my diastasis repair, I use both types of sutures, because this has given me the best results over the last thirty years. Hope this helps.
Helpful 3 people found this helpful
January 9, 2020
Answer: Permanent sutures for diastasis All suture types come with a price that the body must pay. Permanent sutures are not 'rejected' in the immunologic sense, but can erode through adjacent tissues, either above or below the sutures. Absorbable (non-permanent) sutures may not hold for long enough for a good tissue bond to form, and they may also cause an inflammatory reaction that causes its own problems.In my diastasis repair, I use both types of sutures, because this has given me the best results over the last thirty years. Hope this helps.
Helpful 3 people found this helpful