Surgical wounds in reduction mammoplasty: a comparison of Monocryl and Prolene sutures on scars

2021 ◽  
Vol 30 (8) ◽  
pp. 626-630
Author(s):  
Ezzatollah Rezaei ◽  
Hamed Farhadi ◽  
Saeedeh Hajebi Khaniki ◽  
Hamzeh Zarei ◽  
Yavar Shams Hojjati
Keyword(s):  
Wound Healing ◽  
Suture Material ◽  
Reduction Mammoplasty ◽  
Suture Materials ◽  
Scar Assessment ◽  
Surgical Wounds ◽  
Significant Difference ◽  
Prolene Suture ◽  
Materials Used ◽  
The One

Objective: The type of suture material affects the quality of scars. The aim of this study was to find the superior suture material for reduction mammoplasty between Prolene and Monocryl based on the comparison of scars. Method: A prospective observational study was conducted at a university-based hospital in Mashhad, Iran between October 2015 and September 2017. Monocryl and Prolene suture materials, used for closing the outermost layer in mammoplasty, were compared. Patients' incision scars were assessed objectively according to the Patient and Observer Scar Assessment (POSAS) criteria. The relevant CONSORT guideline was used for reporting this study. Results: Seventy-eight women with a mean age of 36.8±9.5 years were entered into the study. The frequency of wound healing in both groups was 97.4% 1 month after surgery and by the third visit, 3 months after surgery, only one patient had a stretched scar. Moreover, wound inflammation in the first two visits was less frequent in the Prolene group that healed completely 3 months after surgery (after excluding the one patient with wide scar inflammation). The frequency of itching of the wound in the Monocryl group was 24.4%, 11.5% and 12.8% in the three follow-up visits, respectively, and the values for the Prolene group were 24.4%, 9.0% and 6.4%, respectively. No significant difference was seen between the two groups in terms of wound healing, inflammation and itching (p>0.05). Overall, 94.8% of patients were satisfied with the surgery. Conclusions: Our study revealed that there was no significant difference between Monocryl and Prolene. Hence, either of the two suture materials can be used for wound closure in reduction mammoplasty.

Effectiveness of cerclage for the prevention of premature birth depending on the suture material used

2020 ◽  
Vol 18 (6) ◽  
pp. 30-33
Author(s):  
O. V. YAKOVLEVA ◽  
◽  
A. G. YASHCHUK ◽  
A. V. MASLENNIKOV ◽  
A. A. TYURINA ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Suture Material ◽  
Neonatal Outcomes ◽  
Absorbable Suture ◽  
Silk Thread ◽  
Suture Materials ◽  
Significant Difference ◽  
Suture Complications ◽  
Group 2 ◽  
Duration Of Pregnancy

The purpose — to compare the effectiveness of cerclage to reduce the frequency of preterm birth when using non-absorbable suture material in the form of a braided silk thread (4 mm) and a braided tape (5 mm), as well as to identify the frequency of complications when using them. Material and methods. A retrospective analysis of cases and childbirth was conducted, as well as the analysis of own experience of applying cerclage with various suture materials in patients with isthmic-cervical insufficiency. A total of 157 patients were examined. Pregnancy outcomes, neonatal outcomes, and post-suture complications were evaluated. Results. 157 women were given cerclage at gestation periods of 14 to 23 weeks. There was no significant difference in the choice of suture material relative to the duration of pregnancy. Cerclage with thread was performed in 92 patients (58,6%) — group 1 and 65 patients were sutured with tape (41,4%) — group 2. Preterm birth occurred in 28 patients of the 2nd comparison group (18%) and 45 patients of the 1st group (29%). The duration of pregnancy in preterm birth was comparable in both groups. Conclusions. The study found that preterm birth after cerclage using a braided tape occurred less frequently than with the use of a braided silk thread. There were no significant differences in neonatal outcomes in the comparison groups. Complications after cerclage, such as suture and cervical rupture, were found only in the group of women who underwent surgery using a woven silk thread.

Plastic Deformation of Polyvinylidene Fluoride and Polypropylene Suture Materials Used for Hernia Repair

2013 ◽  
Vol 641-642 ◽  
pp. 456-459
Author(s):  
Ying Chu Wang ◽  
Pei Hua Zhang
Keyword(s):  
Experimental Data ◽  
Plastic Deformation ◽  
Polyvinylidene Fluoride ◽  
Suture Material ◽  
Element Model ◽  
Creep Model ◽  
Suitable Model ◽  
Suture Materials ◽  
Creep Curves ◽  
Materials Used

This paper studied the irreversible plastic deformation of PVDF monofilament. The four-element creep model was applied to obtain the theoretical creep curves with experimental data using nonlinear regression. The results were compared to the commonly used material PP monofilament. The results showed that four-element model was a suitable model to describe the creep behavior of PVDF monofilament. PVDF monofilament exhibited reduced irreversible plastic deformation under different stresses and elongation rates. It was more stable and recoverable. PVDF could be an advantageous alternative suture material to the traditional suture materials.

scholarly journals The Opportunities for developing a new biologically active suture material in surgery (literature review)

2019 ◽  
Vol 12 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Artem Mikhailovich Morozov ◽  
Evgeny Mikhailovich Mokhov ◽  
Igor Vyacheslavovich Lyubsky ◽  
Alexey Nikolaevich Sergeev ◽  
Viktor Alekseevich Kadykov ◽  
...  
Keyword(s):  
Suture Material ◽  
Antibacterial Properties ◽  
Infectious Complications ◽  
Russian Language ◽  
The Body ◽  
Biologically Active ◽  
Wound Complications ◽  
Chemical Production ◽  
Suture Materials ◽  
Materials Used

The main method of joining the wound edges in surgery remains suturing with the help of threads. Unfortunately, suture materials used in surgery have a number of disadvantages. The percentage of postoperative wound complications remains high. One of these consequences is the failure of the seam, depending also on the material used in the operation. Suture material, as a genetically alien object, that is a foreign body, with a long stay in the tissues can lead to the development of complications: causes suppuration of wounds, formation of abscesses, peritonitis. Materials and methods: The analysis of modern Russian-language and foreign literature, also Internet sources devoted to the issue of issues and modern developments of antiseptic suture material. As a result, the choice and development of an ideal suture material that meets all the requirements, remains an unsolved and socially significant problem in surgery. Despite the variety of variations already offered, there is currently no suture material with antimicrobial activity on the market that would fully reduce the risk of developing infections in the surgical area. But the achievements of modern chemical production make it possible to develop biologically active suture materials that have the ability to resist the development of infectious complications in a wound and improve tissue regeneration without adversely affecting the body. In addition, the analysis showed an increased interest of developers to chitosan, due to its exceptional biocompatibility, bioresorbability, non-toxicity, antibacterial properties and hemostaticity.

scholarly journals Effectiveness of Snakehead Fish (Channa striata) and Turmeric (Curcuma domestica) Extract towards Wound Healing in Rats (Rattus norvegicus)

2020 ◽  
Vol 2 (2) ◽  
pp. 39-43
Author(s):  
Ratna Widyawati ◽  
◽  
H. Bagus Uda Palgunadi ◽  
Reissa Yunia ◽  
◽  
...  
Keyword(s):  
Wound Healing ◽  
Rattus Norvegicus ◽  
Povidone Iodine ◽  
Positive Control ◽  
Male Rats ◽  
Wound Fluid ◽  
Turmeric Extract ◽  
Significant Difference ◽  
Channa Striata ◽  
The One

This study aimed to determine the effect of snakehead fish extracts (Channa striata) and turmeric extract (Curcuma domestica) towards incision wound healing in rats (Rattus norvegicus). Twenty-four male rats, aged 8-week-old, 200-300 grams of body weight divided into 4 groups: control (P0), treatment with povidone iodine as positive control (P1), treatment with snakehead fish extract (P2) and treatment with turmeric extract (P3). The rats were given premedication consisting of acepromazine 0.5 mg kg / BW and atropine 10 mg / kg BW. The rats were then anesthetized using ketamine 0.1 mg / kg BW. An incision was made on each rats’ back area along 2 cm with 0.05 mm depth and observed for 14 days. Observations were carried out every day with data collection at <7 days, 7-14 days, and 14 days. The One-Way ANOVA statistical analysis resulted that the wound fluid parameters and the duration of wound healing showed no significant difference between P0, P1, P2 and P3. This study concluded that the administration of povidone iodine, snakehead fish extract, and turmeric extract influenced the healing of incision wounds in rats.

scholarly journals Bacterial Colonization on Different Suture Materials Used in Oral Implantology: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Nima Nadafpour ◽  
Mostafa Montazeri ◽  
Mehrdad Moradi ◽  
Sina Ahmadzadeh ◽  
Ardavan Etemadi
Keyword(s):  
Bacterial Colonization ◽  
Suture Materials ◽  
Polyglactin 910 ◽  
Mannitol Salt Agar ◽  
E Coli ◽  
Significant Difference ◽  
Materials Used ◽  
Oral Implantology ◽  
And Staphylococcus Aureus ◽  
Number Of Bacteria

Objectives: This study aimed to compare the colonization of Enterococcus faecalis (E. faecalis), Escherichia coli (E. coli), Streptococcus mutans (S. mutans) and Staphylococcus aureus (S. aureus) isolated from the oral cavity on different suture materials used in oral implantology. Materials and Methods: Patients scheduled for implant surgery were included in this study. After flap approximation, the surgical site was sutured using silk, nylon, polyglactin 910 (Vicryl®) and triclosan-coated polyglactin 910 (Vicryl® Plus) sutures in a randomized order. Seven days after surgery, the sutures were removed and incubated in bile esculin agar (for E. faecalis), MacConkey agar (for E. coli), mitis salivarius agar (for S. mutans), and mannitol salt agar (for S. aureus) at 37°C for 24 h. The colonies were then counted. Data were analyzed using the Kruskal-Wallis and Mann-Whitney U tests. Results: Vicryl® sutures showed the highest accumulation of E. faecalis, followed by Vicryl® Plus, nylon, and silk. There was no significant difference between nylon and silk (P=0.5) or between Vicryl® and Vicryl® Plus (P=0.4). Vicryl® Plus sutures showed the highest accumulation of E. coli followed by Vicryl®, silk and nylon (P<0.01). Vicryl® sutures showed the highest accumulation of S. mutans, followed by Vicryl® Plus, silk, and nylon. Vicryl® Plus sutures showed the highest accumulation of S. aureus, followed by Vicryl®, nylon, and silk. Conclusion: Nylon sutures showed the least microbial accumulation. Vicryl® and triclosan-coated Vicryl® Plus sutures had no advantage over the commonly used silk sutures in decreasing the number of bacteria.

A prospective randomized trial of suture material in aural wound closure

1988 ◽  
Vol 102 (9) ◽  
pp. 788-790 ◽  
Author(s):  
D. J. Willatt ◽  
L. Durham ◽  
M. F. Ramadan ◽  
N. Bark-Jones
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Suture Material ◽  
Wound Dehiscence ◽  
Chromic Catgut ◽  
Wound Infections ◽  
Suture Materials ◽  
Factors Affecting ◽  
Monofilament Suture ◽  
Synthetic Monofilament

AbstractThe aim of the study was to compare synthetic monofilament suture materials with chromic catgut and silk in aural wound closure. Forty patients undergoing mastoidectomy or tympanoplasty were randomized to closure with either 30 PDS (Polydioxanone) to fascia plus 30 Prolene to skin, or 20 chromic catgut to fascia plus 30 silk to skin. Known or suspected factors affecting wound healing were recorded. Nine patients had post-operative wound infections. The infection rate was significantly lower in wounds closed with PDS and Prolene (χ2 = 6.05, p<.05), and in tympanoplasty operations (χ2 = 4.42, p<.05). Four patients suffered wound dehiscence, all four had been closed with catgut and silk. No other complication of wound healing was noted in the trial. In conclusion, PDS and Prolene are superior suture materials to catgut and silk in the closure of aural wounds.

scholarly journals Tissue Reactions to Various Suture Materials Used in Oral Surgical Interventions

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Fawad Javed ◽  
Mansour Al-Askar ◽  
Khalid Almas ◽  
Georgios E. Romanos ◽  
Khalid Al-Hezaimi
Keyword(s):  
Wound Healing ◽  
English Language ◽  
Tissue Reaction ◽  
Suture Materials ◽  
Polyglactin 910 ◽  
Oral Surgical Procedures ◽  
Surgical Interventions ◽  
Positive Effects ◽  
Materials Used ◽  
Tissue Reactions

A variety of suture materials are available for primary wound closure following oral surgical procedures. The aim was to review the tissue reactions to the various suture materials used in oral surgical interventions. Databases were searched using the following keywords: cotton, nylon, polyglecaprone 25, polytetrafluoroethylene (ePTFE), Polyglactin 910, polyglycolic acid (PGA), polylactic acid, silk, surgery, suture, and tissue reaction. Articles published only in English language were included. Seventeen studies were included. Two studies reported that polyglecaprone 25 had positive effects on wound-healing as compared to silk. Six studies reported that silk elicits more intense tissue inflammatory response and delayed wound healing as compared to other suture materials (including ePTFE, polyglecaprone-25, PGA, and nylon). Polyglactin 910 sutures were associated with the development of stitch abscess in one clinical study. Eight studies reported that tissue reactions are minimal with nylon sutures. Tissue reactions to suture materials used for oral surgical interventions may vary depending on the surface properties and bacterial adherence properties of the material.

scholarly journals Clinical Outcome and Wound Healing following Carpal Tunnel Decompression: A Comparison of Two Common Suture Materials

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Robert J. MacFarlane ◽  
Thomas D. Donnelly ◽  
Yousaf Khan ◽  
Syam Morapudi ◽  
Mohammad Waseem ◽  
...  
Keyword(s):  
Wound Healing ◽  
Patient Satisfaction ◽  
Carpal Tunnel ◽  
Wound Closure ◽  
Suture Material ◽  
Skin Closure ◽  
Suture Materials ◽  
Vas Scores ◽  
The Mean ◽  
The Ideal

Introduction. Debate exists amongst surgeons regarding the ideal suture material for skin closure in carpal tunnel decompression (CTD). This study compares wound related complications, patient satisfaction, and functional outcome following open carpal tunnel decompression in patients undergoing wound closure with either of two common absorbable and nonabsorbable suture types.Materials and Methods. 53 patients underwent CTD with either 4/0 polypropylene (ProleneTM,n= 28) or 4/0 polyglactin (Vicryl RapideTM,n= 25) for skin closure. QuickDASH, VAS satisfaction scores, and Southampton wound scores were assessed preoperatively and at 2 and 6 weeks postoperatively.Results. At 6 weeks the mean QuickDASH scores postoperatively were 18.54 and 17.70 for absorbable and nonabsorbable sutures, respectively, (P= 0.86). The mean VAS scores were 0.61 and 0.42 (P= 0.91), respectively. All patients achieved a Southampton wound score of 0 by 6 weeks except one, who achieved 1C in the nonabsorbable group, equivalent to mild erythema. There were no complications in either group.Conclusion. Both suture types are safe and effective materials for CTD, and we recommend surgeons to choose according to personal preference, handling properties, and resources available for suture removal.

scholarly journals Polytetrafluoroethylene (PTFE) suture vs fiberwire and polypropylene in flexor tendon repair

2021 ◽  
Author(s):  
Elias Polykandriotis ◽  
Florian Ruppe ◽  
Miriam Niederkorn ◽  
Ektor Polykandriotis ◽  
Lars Bräuer ◽  
...  
Keyword(s):  
Mechanical Characteristics ◽  
Suture Material ◽  
Tendon Repair ◽  
Suture Technique ◽  
Bonferroni Correction ◽  
Suture Materials ◽  
Flexor Tendon Repair ◽  
Active Motion ◽  
Significant Difference ◽  
Repair Techniques

Abstract Background In this study, we evaluate the value of novel suture material based on monofilamentous-extruded polyfluoroethylene (PTFE) compared to polypropylene (PPL) and Fiberwire (FW). Materials and methods 60 flexor tendons were harvested from fresh cadaveric upper extremities. 4–0 sutures strands were used in the PPL, FW and PTFE group. Knotting properties and mechanical characteristics of the suture materials were evaluated. A 4-strand locked cruciate (Adelaide) or a 6-strand (M-Tang) suture technique was applied as core sutures for a tendon repair. Two-way ANOVA tests were performed with the Bonferroni correction. Results Stable knotting was achieved with 5 throws with the PPL material, 7 throws for FW and 9 throws for PTFE. In the PPL group, linear tensile strength was 45.92 ± 12.53 N, in the FW group 80.11 ± 18.34 N and in the PTFE group 76.16 ± 29.10 N. FW and PTFE are significantly stronger than PPL but show no significant difference among each other. Similar results were obtained in the subgroup comparisons for different repair techniques. The Adelaide and the M-Tang knotting technique showed no significant difference. Conclusion Fiberwire showed superior handling and knotting properties in comparison to PTFE. However, PTFE allows easier approximation of the stumps. In both, M-Tang and Adelaide repairs, PTFE was equal to FW in terms of repair strength. Both PTFE and FW provide for a robust tendon repair so that early active motion regimens for rehabilitation can be applied.

scholarly journals Mechanical testing of orthopaedic suture material and a crimp clamp system for the extracapsular stabilisation of canine cruciate-deficient stifles

2012 ◽  
Vol 57 (No. 11) ◽  
pp. 597-602 ◽  
Author(s):  
V. Ledecky ◽  
D. Knazovicky ◽  
M. Badida ◽  
L. Dulebova ◽  
M. Hluchy ◽  
...  
Keyword(s):  
Suture Material ◽  
Cruciate Ligament ◽  
Joint Stability ◽  
Suture Materials ◽  
Cranial Cruciate Ligament ◽  
Stifle Joint ◽  
Medial Rotation ◽  
Materials Used ◽  
Knot Security

The cranial cruciate ligament (CCL) provides cranio-caudal stability, prevents hyperextension and constrains medial rotation of the tibia in the canine stifle joint and CCL rupture is the leading cause of hind leg lameness in dogs. Treatment of CCL rupture aims to resolve lameness caused by joint instability and provide good long-term function of the affected hind limb. The extracapsular technique is one of the most popular methods to restore joint stability. The technique involves a suture loop that is placed around the lateral fabella and through the tibial tuberosity. The ideal suture material should be strong, aseptic, easily handled, inexpensive, and provide excellent knot security and knot compactness. A critical property of the loop is the application of either a knot or crimp to maintain the tension on the loop. There is a variety of orthopaedic suture materials used for the extracapsular technique. Our aim was to compare the mechanical properties of four commercially available materials in pure tension. The materials tested were monofilament nylon leader (MNL) 100 lb, MNL 80 lb, Supramid and Silon. Our second objective was to compare the interoperator variability of applying either a knot or a crimp to secure the suture loop. Ultimate tensile strength was greatest with MNL 100 lb (373 N) followed by MNL 80 lb (285 N), Supramid (160 N) and Silon (103 N). Based on our results, we conclude that MNL 100 lb and MNL 80&nbsp;lb are mechanically superior to Silon and Supramid. Our study also shows significant effects for the operator and method of loop fixation (P &lt; 0.0001). Intraoperator differences were also found to be significant, for operator 1 (P &lt; 0.0001), for operator 2 (P &lt; 0.001) and operator 3 (P &lt; 0.01). Our findings indicate that MNL is most suitable orthopaedic material and that loop fixation should remain the method of choice for surgeons treating CCL.

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