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Eye volume 38, pages 752–756 (2024 )Cite this article China Surgery Sutures Factory
![Lateral tarsal strip procedure: comparison of absorbable sutures and non-absorbable polypropylene suture. Does the suture type matter? | Eye](http://kehu03.grofrom.com/www.zrmedicalsuture.com/67b3d4a2e1ad2249fe5a9771640a1d9e.jpg)
To determine whether the success and complication rates of the Lateral Tarsal Strip (LTS) Procedure, when treating involutional ectropion/entropion, is influenced by the use of suture when attaching the tarsal strip to the periosteum.
Multi-centre retrospective comparative study of re-operation and complication rates (Recurrence, Dehiscence, Suture Infection, Granuloma, Haemorrhage, Residual-Lid Laxity, Suture Extrusion and Repeat Procedure) in LTS, between 01/01/2017 and 01/01/2022 who met the inclusion/exclusion criteria, for involutional ectropion/entropion using an absorbable polyglactin (vicryl) and non-absorbable polypropylene suture (prolene).
1079 operations in 891 patients (36% female, average age 81.4 years) were performed with an average follow-up of 1.785 years. 588 operations in 475 patients were performed using prolene whilst 491 procedures in 416 patients were performed using vicryl sutures. Of these, 61% were performed by a consultant surgeon in the prolene group compared to 49.7% in the vicryl group. Overall complication rates between prolene and vicryl were 24.7% and 29.7% (p = 0.061) respectively. Higher complication rates for post-operative residual lid laxity, granuloma and suture infection were greater in the vicryl group versus prolene (2.65% and 0.51% p = 0.004, 2.24% and 0.68% p = 0.03, 1.83% and 0.17% p = 0.007 respectively). Non-significant results for dehiscence or repeat procedures (2.24% and 2.21% p = 0.974, 6.72% and 9.01% p = 0.166 respectively).
Both sutures are effective for the correction of involutional ectropion/entropion with LTS. Dehiscence and redo rates were not statistically significant. Nevertheless, the use of vicryl suture was found to be associated with a higher complication rate for: post-operative residual lid laxity, granuloma and suture infection.
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Mcveigh KA, Harrison R, Ford R. Entropion and ectropion repair: a snapshot of surgical practice in the United Kingdom. Orbit. 2018;37:105–9.
Vallabhanath P, Carter S. Ectropion and entropion. Curr Opin Ophthalmol. 2000;11:345–1.
Article CAS PubMed Google Scholar
Altieri M. The advantages of lateral tarsal strip procedure. J Surg Tech Case Rep. 2010;2:63.
Article PubMed Central PubMed Google Scholar
Hsuan J, Selva D. The use of a polyglactin suture in the lateral tarsal strip procedure. Am J Ophthalmol. 2004;138:588–91.
Article CAS PubMed Google Scholar
Weber PJ, Popp JC, Wulc AE. Refinements of the Tarsal Strip Procedure. Ophthalmic Surg Lasers Imaging Retina. 1991;22:687–91.
Liu D. Lower eyelid tightening: a comparative study. Ophthalmic Plast Reconstr Surg. 1997;13:199–203.
Article CAS PubMed Google Scholar
Vahdani K, Ford R, Garrott H, Thaller VT. Lateral tarsal strip versus Bick’s procedure in correction of eyelid malposition. Eye. 2018;32:1117–22.
Article PubMed Central PubMed Google Scholar
Leibovitch I. Lateral wedge resection: a simple technique for repairing involutional lower eyelid entropion. Dermatol Surg. 2010;36:1412–18.
Article CAS PubMed Google Scholar
Mahesh L, Kumar VR, Jain A, Shukla S, Aragoneses JM, Martínez González JM, et al. Bacterial adherence around sutures of different material at grafted site: a microbiological analysis. Materials. 2019;12:2848. https://doi.org/10.3390/ma12182848.
Article CAS PubMed Central ADS PubMed Google Scholar
Olver JM. Surgical tips on the lateral tarsal strip. Eye. 1998;12:1007–12.
Manasseh GSL, Hunt SV, Garrott H, Ford RL, Caesar R, Harrad RA. Anterior approach ptosis surgery: comparison of absorbable polyglactin sutures and non-absorbable polyester sutures. Does Vicryl stand the test of time? Orbit. 2022;41:547–50.
Johnson ER, Maamari RN, Neimkin MG, Bodnar ZM, Holds JB. Comparison of non-absorbable silk and absorbable polyglactin sutures for external ptosis repair. Orbit. 2020;39:18–22.
Clauss KD, Ohana O, Patel A, Wester ST, Lee B, Alabiad CR, et al. Lateral tarsal strip complications with and without conjunctiva stripping. Ophthalmic Plast Reconstr Surg. 2022;38:458–61.
Chen L, Penne RB. Complications associated with polydek sutures used in the eyelid lateral tarsal strip procedures. Clin Med Res. 2022;20:107–10.
Article PubMed Central PubMed Google Scholar
Setzen G, Williams E. Tissue response to suture materials implanted subcutaneously in a rabbit model. Plast Reconstr Surg. 1997;100:1788–95.
Article CAS PubMed Google Scholar
Erel E, Pleasance PI, Ahmed O, Hart NB. Absorbable versus non-absorbable suture in carpal tunnel decompression. J Hand Surg. 2001;26:157–8.
Lock AM, Gao R, Naot D, Coleman B, Cornish J, Musson DS. Induction of immune gene expression and inflammatory mediator release by commonly used surgical suture materials: an experimental in vitro study. Patient Saf Surg. 2017;11:16.
Article PubMed Central PubMed Google Scholar
Sala Pérez S, López Ramírez M, Quinteros Borgarello M, Valmaseda Castellón E, Gay Escoda C. Antibacterial suture vs silk for the surgical removal of impacted lower third molars.A randomized clinical study.Med Oral Oral Pathology and Oral Surgery.2016;21:e95–102.
Masini BD, Stinner DJ, Waterman SM, Wenke JC. Bacterial adherence to suture materials. J Surg Educ. 2011;68:101–4.
We are grateful to the Ophthalmology departments at both trusts for their support.
Department of Ophthalmology, Southend University Hospital, Southend, UK
Malik Moledina, Ananth Ranji, Chimwemwe Chipeta & Adeela Malik
Ophthalmology Unit, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, UK
Ibrar Ahmed & Richard Caesar
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Moledina, M., Ahmed, I., Ranji, A. et al. Lateral tarsal strip procedure: comparison of absorbable sutures and non-absorbable polypropylene suture. Does the suture type matter?. Eye 38, 752–756 (2024). https://doi.org/10.1038/s41433-023-02768-6
DOI: https://doi.org/10.1038/s41433-023-02768-6
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