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May 11, 2026Journal of Plastic and Reconstructive Surgery0 citationsOpen Access

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

JMJaycee L. MuddBPBrooke E. PorterEMEdward T. Van Matre

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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Cite This Study

Mudd et al. (2026) studied this question.

synapsesocial.com/papers/6a0171983a9f334c28271bechttps://doi.org/10.53045/jprs.2025-0123
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