Kirby G, Macano C, Sitaramachandra Murthy N* and Perry A
General Surgery, Heart of England NHS Foundation Trust, UK
Received Date: January 07, 2017; Accepted Date: January 17, 2017; Published Date: January 27, 2017
Citation: Kirby G, Macano C, Sitaramachandra Murthy N, Perry A (2017) Non Absorbable Suture Should be Avoided When Operating on the Biliary Tree. Med Rep Case Stud 2: i102. doi: 10.4172/2572-5130.1000i102
Copyright: © 2017 Kirby G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Non-absorbable and braided sutures should be avoided whilst operating on the bile duct, for example when closing a choledochotomy or ligatisng the cystic duct. Suture material may migrate into the lumen of the duct over time. Foreign objects may act as a nidus for stone formation . This complication is demonstrated by the Figure 1 below: an intra-operative cholangiogram demonstrating choledocholithiasis, and the stone extracted at laparoscopic bile duct exploration measuring 24 mm, which had formed around a braided suture used during open cholecystectomy 37 years previously in Poland.
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