2. Bioabsorbable reinforcement material :
Polyglycolic Acid ( PGA )
Soft non woven fabric with elasticity :
specific fabrication process
Excellent biocompatibility : PGA used as
suture material
Material characteristics
Staff Training UZ Leuven, March 23
3. SHEET Type TUBE Type
Material types
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4. Mechanism :
1. Strength decreased by hydrolysis
2. Absorption
3. Metabolization
Complete absorption : 15 weeks
Absorption process
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5. Tensile strength in saline water at 37°
Absorption process
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Immersion
date
Retention of
strength
10 days 50 %
20 days 20 %
30 days 0 %
Time of immersion ( weeks )
Retentionofstrength(%)
7. Prevention of air leakage ( bullae )
Reduction of pneumothorax
Reinforcement of weak organs ( bronchi,
lungs )
Indications
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8. One piece method
Patchwork method
Instructions for Use : Sheet
Staff Training UZ Leuven, March 23
9. Spread the sheet across a wide area
inside the thorax using forceps
Gently apply on semi-inflated lung
Continue 2 – 3 minutes until completion
One piece method
Staff Training UZ Leuven, March 23
11. Instructions for use : Tube
Staff Training UZ Leuven, March 23
Mount the larger size of the
product to the cartridge side
of stapler and the smaller
size to the anvil side
Hold the regions for
stapling operation properly
with the stapler
Execute normal operation
(fire, cut) of the stapler
12. Instructions for use : Tube
Staff Training UZ Leuven, March 23
Pull out the tacking threads
followed by separation of
PGA felt and elastic knit,
and gently remove the
stapler
Cut apart the end of the felt
by scissors or the like, if
necessary
13. The covering with forceps-assisted polymeric biodegradable
sheet and endostapling method: a simplified technique for
wide coverage and reinforcement of staple-line in video-
assisted thoracoscopic bullectomy for spontaneous
pneumothorax
T. Saito, H. Kaneda, T. Konobu and Y. Saito
Interactive CardioVascular and Thoracic Surgery. 2011; 12:
103–105
Scientific publications
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14. An Evaluation of the Surgical Morbidity of Polyglycolic
Acid Felt in Pulmonary Resections
T. Nakamura, K. Suzuki, T. Mochizuki, Y. Ohde, H. Kobayashi
and F. Toyoda
Surg Today. 2010; 40:734–737
Scientific publications
Staff Training UZ Leuven, March 23