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This study examines how the choice of suture type affects postoperative complications in tissue expander-based breast reconstruction.

May 11, 2026Open Access

Impact of Suture Type on Postoperative Complications in Tissue Expander-Based Breast Reconstruction: A Retrospective Cohort Study

Key Points

This study examines how the choice of suture type affects postoperative complications in tissue expander-based breast reconstruction.
Retrospective cohort design
Comparison of absorbable synthetic braided sutures and non-absorbable braided polyester sutures
Analysis of complications related to suture selection
Absorbable sutures lose tensile strength within 14 days, potentially increasing complications.
Non-absorbable sutures provide long-term tensile strength, suggesting lower complication rates.
Selection of suture type significantly influences the rate of TE-related complications.

Abstract

Introduction: Tissue expander (TE) breast reconstruction may be complicated by TE flipping or migration, impacting expansion and breast pocket formation. Absorbable, synthetic braided sutures (Vicryl, Ethicon, Inc., Somerville, NJ, USA), lose tensile strength within 14 days whereas non-absorbable braided polyester sutures (Ethibond, Ethicon Inc., Cornelia, GA, USA), provide long-term tensile strength. This study aims to examine how suture selection influences postoperative complications.

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