A COMPARATIVE SCANNING ELECTRON-MICROSCOPIC STUDY ON DEGRADATION OF ABSORBABLE LIGATING CLIPS INVIVO AND INVITRO

Using scanning electron microscopy, the degradation characteristics of two absorbable ligating clips, Absolok (polydioxanone) and Lactomer (poly-L-lactide-co-30%-glycolide) have been studied under in vivo and in vitro conditions. The rate of Absolok clip degradation was significantly greater than that of Lactomer clip degradation both in vitro and in vivo. The rate of degradation of Lactomer clips significantly increased and they showed a greater change in proportion of breakdown in vivo than in vitro compared to Absolok clips. The Absolok clip breakdown began with the formation of surface undulations which later developed into fissures. The undulations appeared on the clip surface as early as 7 days and by 2 weeks developed into fissures. The initial appearance of the fissures was at the edge of the clips particularly at the mating surface.