scholarly journals Physical Properties of Surgical Suture Materials

1976 ◽  
Vol 184 (2) ◽  
pp. 189-193 ◽  
Author(s):  
DAN E. W. HOLMLUND
2011 ◽  
Vol 64 (3-4) ◽  
pp. 157-160 ◽  
Author(s):  
Sinisa Mirkovic ◽  
Tatjana Djurdjevic-Mirkovic

Introduction. Throughout history many kinds of different suture materials have been used for closing and suturing surgical wounds. Medical literature describes four basic characteristics of suture material: knot safety, tensile strength, tissue reaction and wound safety. The tissue reaction is reflected in an inflammatory response, which, though minimal, occurs during first two to seven days after implanting suture into the tissue. The aim of this research was to investigate whether different suture materials affect the development of decubital damage of oral mucosa, which to a great extent can compromise the process of wound healing. Material and methods. The investigation was designed as a prospective clinical study including 150 patients of both genders, aged between 25 and 60. The patients were distributed into three groups of 50 persons. The suture Black Silk was used in the first group, designated as a control group. Nylon and Vicril were used in the second and third group, i.e. experimental groups, respectively. Decubital damage of the surrounding soft tissues was the main parameter for monitoring the effects of selected suture materials on the oral mucosa. Conclusion. The comparison of results obtained for the investigated suture materials after suturing oral mucosa revealed that certain advan?tage could be given to synthetic monofilament suture materials


Innova ◽  
2021 ◽  
Vol 21 (4) ◽  
pp. 8-12
Author(s):  
Артём Денисов ◽  
◽  
Денис Гуртовой

The modern medical process poses new challenges, classical suture materials have ceased to satisfy surgeons with both their sanogenetic properties and physical properties. These properties are capable of giving threads the production methods described in the article. Among these methods, there are two fundamental differences: an active pharmacological substance is applied in the process of creating a thread, and a substance is applied to an already finished thread, which fundamentally affects the physical and biological parameters.


2018 ◽  
Vol 3 (11) ◽  
pp. 3345-3350 ◽  
Author(s):  
Xiaoqing Xiong ◽  
Weiru Zhi ◽  
Jun Yan ◽  
Wenjing Song ◽  
Hui Du ◽  
...  

Author(s):  
Sinisa Mirkovic ◽  
Ljubisa Dzambas ◽  
Srecko Selakovic

Throughout the history the most diverse suture material have been used for closing and suturing surgical wounds. The four basic features of suture material are described: knot safety, stretch capacity, tissue reactivity and wound safety. Tissue reaction, even the minimum one, which develops during the first to seven days after applying the suture in the tissue. The aim of this study was to investigate influence of a monofilament suture material (nylon) on the intensity of local tissue reaction in experimental conditions, and to compare it with the multifilament suture used in the routine practice of oral surgery (silk). This investigation is a prospective experimental study carried out on Wistar rats. The experiment included 30 animals, in which Black Silk (thickness 4-1) and Nylon (thickness 4-0) were applied in the upper and lower jaw, respectively. To monitor tissue reaction on different suture materials the following parameters were used: coagulum formation, presence of polymorphonuclear leukocytes, presence of macrophages and granuloma, formation of epithelial bridge and connective tissue, collagen synthesis, granulomatous tissue formation and presence of fibrous tissue. After comparing parameters for the intensity of tissue reaction to the investigate suture materials by suturing the oral mucosa, certain advantage could be given to the monofilament suture materials.


Author(s):  
Arz Y. Qwam Alden ◽  
Andrew G. Geeslin ◽  
Jeffrey C. King ◽  
Peter A. Gustafson

Background Surgical knots are one of several structures which can fail during surgical repair. However, there is no universal agreement on the superiority (best/safest) of one particular surgical knot technique. Tensile testing of repaired soft tissue has been used to assess the efficacy of surgical knot tying techniques, however, few computational models exist. The purpose of this study was to create a validated biomechanical model to evaluate the effect of knot configuration on the mechanical performance of surgical sutures. Methods Two sutures were tested experimentally to find the mechanical properties and strength. Single throw knots were also tested for strength. Finite element models were constructed of each configuration and correlation was established. Results The finite element results are quantitatively and qualitatively consistent with experimental findings. The FE model stress concentrations are also consistent with published strength reductions. Model and experimental results are presented using as-manufactured No. 2 FiberWire as well as its core and jacket constituents separately. Clinical Relevance This paper describes a model which can evaluate the effect of knot topology on the mechanics of surgical suture. In the future, the model may be used to evaluate the mechanical differences between surgical techniques and suture materials. The findings may impact choices for suture and knot types selected for soft tissue repairs.


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