Suture Material in Vaginal Hysterectomy

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  • TSUJI,Akira
    Department of Obstetrics and Gynecology, Tsuji Clinic
  • OHTA,Chitaru
    Department of Obstetrics and Gynecology, Ohta Hospital
  • OHTA,Yachiho
    Department of Obstetrics and Gynecology, Kashima White Cross Hospital

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  • 膣式子宮全摘に使用する糸の研究

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In order to find the best suture material to use for vaginal hysterectomies, we examined the tensile strength, stretchability and Contractibility of suture materials such as silk, chromic and plain catgut, and dexon under both wet and dry conditions. We also observed the incidence of postoperative hemorrhage, granulation and healihg of the vaginal stump. l) Under dry conditions, the tensile strength, stretchability and contractibility was greatest in No. 3 plain catgut. (plain catgut>chromic catgut>dexon or silk) 2) Under wet conditions, the tensile strength was not so changed, but the stretchability of catgut and silk was increased and that of dexon was low and unchanged. The contractibility of all types of suture material was increased. 3) Silk had low tesile strength, was not absorbable and became an infectious foreigh body. Dexon had low stretchability and tended to result in postopeative hemorrhage. Chromic catgut was frequently found to cause infectious granulation and postoperative homerrhage in the vaginal stump.4) Plain catgut was easily absorbed and had the greatest tensile strength and stretchability.Plain catgut was considered to be the most suitable suture material for vaginal hysterectomy.

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