Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.

We present analytical and numerical results on integrability and transition to chaotic motion for a generalized Ziegler pendulum, a double pendulum subject to an angular elastic potential and a follower force. Several variants of the original dynamical system, including the presence of gravity and friction, are considered, in order to analyze whether the integrable cases are preserved or not in presence of further external forces, both potential and non-potential. Particular attention is devoted to the presence of dissipative forces, that are analyzed in two different formulations. Furthermore, a study of the discrete version is performed. The analysis of periodic points, that is presented up to period 3, suggests that the discrete map associated to the dynamical system has not dense sets of periodic points, so that the map would not be chaotic in the sense of Devaney for a choice of the parameters that corresponds to a general case of chaotic motion for the original system.

The Melnikov method is applied to a class of generalized Ziegler pendulums. We find an analytical form for the separatrix of the system in terms of Jacobian elliptic integrals, holding for a large class of initial conditions and parameters. By working in Duffing approximation, we apply the Melnikov method to the original Ziegler system, showing that the first non-vanishing Melnikov integral appears in the second order. An explicit expression for the Melnikov integral is derived in the presence of a time-periodic external force and for a suitable choice of the parameters, as well as in the presence of a dissipative term acting on the lower rod of the pendulum. These results allow us to define fundamental relationships between the Melnikov integral and a proper control parameter that distinguishes between regular and chaotic orbits for the original dynamical system. Finally, in the appendix, we present proof of a conjecture concerning the non-validity of Devaney’s chaoticity definition for a discrete map associated with the system.