J Korean Ophthalmol Soc > Volume 50(4); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(4):603-611.
DOI: https://doi.org/10.3341/jkos.2009.50.4.603    Published online April 30, 2009.
The Effects of Sutureless Faden Operation With Several Materials in Rabbit Models.
Jeong Hun Seo, Seong Jun Lee, Ok Jun Lee, Mi Young Choi
1Department of Ophthalmology, Chungbuk National University College of Medicine; Chungbuk National University Medical Research Institute, Cheongju, Korea. mychoi@chungbuk.ac.kr
2Lee's eye clinic, Daejon, Korea.
3Department of Pathology, Chungbuk National University College of Medicine; Chungbuk National University Medical Research Institute, Cheongju, Korea.
토끼에서 여러 방법을 이용한 무봉합 뒤고정술의 효과
서정훈1ㆍ이성준2ㆍ이옥준3ㆍ최미영1
Department of Ophthalmology, Chungbuk National University College of Medicine; Chungbuk National University Medical Research Institute1, Cheongju, Korea Lee's eye clinic2, Daejon, Korea Department of Pathology, Chungbuk National University College of Medicine; Chungbuk National University Medical Research Institute3, Cheongju, Korea
Abstract
PURPOSE
To investigate the effects of sutureless faden operation to eliminate suture-related perioperative risks in a rabbit model. METHODS: Twenty-eighty superior recti muscles of 14 rabbits were subjected to faden operation, at a distance of 6 mm from the insertion of the muscle. They were divided into four groups of 7 muscles each: group A, Beriplast-P; group B, Bard(R) mesh (12x2 mm); group C, Surgipro(R) mesh (6x2 mm); group D, Surgipro(R) mesh (6x6 mm). Rabbits were sacrificed and the eyes were enucleated. The operative field was examined upon dissection, 4 weeks after the surgery. Histopathologic sections were examined for the degree (grade 0 to 4) of inflammation, fibrosis, atrophy and/or degeneration of muscle fiber. RESULTS: Grossly, there was a mild adhesion at the myopexy site in group A, while there was greater adhesion at the myopexy site in groups B, C and D. Group B produced a pronounced adhesion, and the mesh firmly adhered to the sclera as well as to adjacent tissue. Upon histologic examination, group A showed a mild inflammatory reaction and fibrosis, whereas groups B and D showed a moderate inflammatory reaction and fibrosis. The degree of fibrosis in group D was more severe than that in group A (p<0.008), and there was no statistical significance among the other groups (p>0.05). There was atrophy and degeneration in the muscle fiber in all groups, with the exception of group D. CONCLUSIONS: In the rabbit model, 6x6 mm sized Surgipro(R) mesh may be the best material in sutureless faden operation.
Key Words: Bard(R) mesh;Beriplast-P(R);Fadenoperation;Surgipro(R) mesh;Sutureless strabismus surgery


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