Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
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Anterior approach ptosis surgery: comparison of absorbable polyglactin sutures and non-absorbable polyester sutures. Does Vicryl stand the test of time?
Author: Gemma Manasseh
ePoster Number: 109
To determine whether long-term success of ptosis surgery is influenced by the use of absorbable or non-absorbable sutures to advance the levator aponeurosis onto the tarsal plate.
Multi-centre retrospective comparative study of re-operation rates in primary anterior approach ptosis surgery using absorbable polyglactin sutures (Vicryl) and non-absorbable polyester sutures (Ethibond). The Medisoft audit tool was used to identify all patients who underwent primary ptosis surgery for aponeurotic ptosis, performed by five oculoplastic consultants within a 7-year period, across two NHS Ophthalmology departments. The electronic patient records were reviewed for each patient. Basic demographics, suture material and post-operative complications were recorded. All patients requiring repeat surgery between the study dates and present day were recorded, allowing a minimum postoperative period of 3 years and 10 months. Re-operation rates in surgery using absorbable Vicryl sutures and non-absorbable Ethibond sutures were compared using Fisher exact test.
455 operations in 330 patients were performed within the study period that met the inclusion and exclusion criteria. 57% of patients were female, with an average age of 68.8 years. 169 operations in 128 patients were performed using absorbable Vicryl sutures. Of these, 22 (13.0%) required repeat operations. 286 operations in 202 patients were performed using non-absorbable Ethibond sutures. Of these, 17 (5.9%) required repeat operations. The two-tailed P-value was 0.0143. Surgery with Vicryl had a significantly greater tendency to fail more than two years following primary surgery compared with ethibond (p=0.0013).
The use of non-absorbable Ethibond sutures to advance the levator aponeurosis onto the tarsal plate in primary ptosis surgery is associated with improved long-term success and reduced need for secondary surgery.
|First name||Last name||Base Hospital / Institution|
|Samantha||Hunt||Bristol Eye Hospital|
|Helen||Garrott||Bristol Eye Hospital|
|Rebecca||Ford||Bristol Eye Hospital|
|Richard||Caesar||2.Gloucestershire Hospitals NHS Foundation Trust|
|Richard||Harrad||Bristol Eye Hospital|
Abstract ID: 20-126