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.

Biomechanics Study of the Holding Power between Tendon and Suture Using Different Techniques

2020 ◽  
Vol 25 (03) ◽  
pp. 301-306
Author(s):  
Wongthawat Liawrungrueang ◽  
Sunton Wongsiri
Keyword(s):  
Tensile Strength ◽  
Suture Material ◽  
Flexor Tendon ◽  
Barbed Suture ◽  
Suture Materials ◽  
Holding Power ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Background: The holding power of a repaired flexor tendon injury is related to surface sutures, suture material and different techniques. Nowadays, a barbed suture material offers the possibility of knotless flexor tendon repair but many hospitals use non-barbed suture materials. The purpose of this study was to compare a barbed suture material and a non-barbed suture material for primary stability under static loading and increased knots in the non-barbed suture material (knot technique) for increased holding power of tendons in animal testing. Methods: Forty-five fresh porcine tendons were randomized into three groups: Group 1 (grasping technique group) used a four-strand core suture grasping a four-strand modified Kessler suture by non-barbed suture material [Non-absorbable monofilament polybutester 3–0] was used to repair the tendon with a surgical knot; in Group 2 (knot technique group) a four-strand core suture used the knot technique by non-barbed suture material [Non-absorbable monofilament polybutester 3–0] to repair the tendon with a continuous suture adding surgical knots in the same place as the surgical knot at the repair sites; and Group 3 (knotless technique group) used a four-strand core suture with the knotless technique in modified Kessler suture with barbed suture material [Non-absorbable monofilament polybutester 3–0] to repair the tendon without a knot. Our objective was to compare the ultimate tensile strength between the groups. Results: The mean tensile strength was 30.38 ± 5.04 N for group 1, 41.71 ± 2.62 for group 2 and 47.53 ± 4.89 for the group 3. The ANOVA test revealed a significant difference among the various techniques (p < 0.05). The highest tensile strength was found in the knotless technique using barbed suture material group. Conclusions: The knotless technique using barbed suture material demonstrated the highest tensile strength in suture repairs. The maximum tensile strength was significantly higher in this group.

Absorbable suture material in carotid surgery

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Vincenzo Gasbarro ◽  
Luca Traina ◽  
Francesco Mascoli ◽  
Vincenzo Coscia ◽  
Gianluca Buffone ◽  
...  
Keyword(s):  
Suture Material ◽  
Absorbable Suture ◽  
Paediatric Surgery ◽  
Carotid Surgery ◽  
Suture Materials ◽  
Absorbable Suture Material ◽  
Absorbable Sutures ◽  
Group A ◽  
Group B

Abstract. 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.

scholarly journals Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hikaru Watanabe ◽  
Kohei Abe ◽  
Naoki Kanauchi
Keyword(s):  
General Anesthesia ◽  
Carcinoid Tumor ◽  
Suture Material ◽  
Rare Complication ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Bronchial Stump ◽  
Flexible Bronchoscope ◽  
Pulmonary Carcinoid ◽  
Bronchial Lumen

Abstract Background It is uncommon for a bronchial stump-related complication to develop during the remote postoperative period in a case of obstructive pneumonia owing to migration of the suture material. Here, we describe a case of bronchial obstructive pneumonia that developed owing to migration of the suture material in the airway 8 years after pulmonary resection. Case presentation A 34-year-old woman underwent left lower lobectomy for a pulmonary carcinoid tumor (pT1bN0M0-stage IA) in 2010. She experienced obstructive pneumonia, and chest computed tomography revealed a mass protruding from the bronchial stump to the bronchial lumen in 2018. After treatment for pneumonia, flexible bronchoscopy showed the presence of a fibrous suture material (Teflon pledget) completely obstructing the left second carina. A week later, the Teflon pledget obstructing the bronchial lumen was removed using a flexible bronchoscope with the patient under general anesthesia. The procedure was completed without removing the small amount of granulation tissue because the bronchial lumen opened after removing the Teflon pledget. She has remained asymptomatic for 1 year after removal. Conclusions In this case, the complication of obstructive pneumonia developed owing to migration of the non-absorbable suture materials used to suture the bronchial stump. Bronchoscopic management of this rare complication comprised endobronchial removal with the patient under general anesthesia. Given our experience with this case, we believe that such conservative management should allow for excellent results in most instances and avoid the need for reoperation.

Comparative study of episiotomy repair: absorbable synthetic versus chromic catgut suture material

2017 ◽  
Vol 6 (6) ◽  
pp. 2186
Author(s):  
Devika Perumal ◽  
Divya Selvaraju
Keyword(s):  
Comparative Study ◽  
Suture Material ◽  
Statistical Significance ◽  
Wound Dehiscence ◽  
Chromic Catgut ◽  
Control Group ◽  
Absorbable Suture ◽  
Perineal Laceration ◽  
Short Term ◽  
Significant Difference

Background: The choice of suture material for repair of episiotomy or perineal laceration is largely of one’s personal preference. Chromic catgut was widely used in most institutions. It now appears that chromic catgut is associated with more postpartum discomfort and hence chromic catgut has been largely replaced by synthetic absorbable materials like polyglactin and polyglycolic acid.Methods: The study was conducted in Institute of Social Obstetrics and Government Kasturba Gandhi Hospital, Chennai. This is a prospective, comparative study involving two groups. The use of a rapidly absorbing form of synthetic absorbable suture material, in the repair of episiotomy or perineal laceration in 100 patients during the study period February 2012 to July 2012, were simultaneously compared with the traditional natural absorbable suture material.Results: With the use of rapidly absorbing polyglactin 910, there was a significant reduction (p=0.000) in the short-term pain, 19 compared to 80 in the control group. With regard to wound dehiscence and the need for resuturing, there was statistically significant difference in the control group (15%) compared to the study group (0%). There was no statistical significance between the two groups in terms of dyspareunia (12.4% vs 10.7%).Conclusions: Fast-absorbing form of Polyglactin seems to be effective in reducing some of the morbidity associated with perineal repair following childbirth. There was significant reduction in the short-term pain and the need for analgesia. The incidence of wound dehiscence was markedly reduced.

scholarly journals Antibacterial-Coated Suture in Reducing Surgical Site Infection in Breast Surgery: A Prospective Study

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Enora Laas ◽  
Cécile Poilroux ◽  
Corinne Bézu ◽  
Charles Coutant ◽  
Serge Uzan ◽  
...  
Keyword(s):  
High Risk ◽  
Breast Surgery ◽  
High Risk Group ◽  
Microbial Colonization ◽  
Suture Materials ◽  
Significant Difference ◽  
Axillary Lymphadenectomy ◽  
Group 2 ◽  
A Prospective Study ◽  
Group 1

Background. To reduce the incidence of microbial colonization of suture material, Triclosan- (TC-)coated suture materials have been developed. The aim of this study was to assess the incidence of suture-related complications (SRC) in breast surgery with and without the use of TC-coated sutures.Methods. We performed a study on two consecutive periods: 92 patients underwent breast surgery with conventional sutures (Group 1) and 98 with TC-coated sutures (Group 2). We performed subgroups analyses and developed a model to predict SRC in Group 1 and tested its clinical efficacy in Group 2 using a nomogram-based approach.Results. The SRC rates were 13% in Group 1 and 8% in Group 2. We found that some subgroups may benefit from TC-coated sutures. The discrimination obtained from a logistic regression model developed in Group 1 and based on multifocality, age and axillary lymphadenectomy was 0.88 (95% CI 0.77–0.95) (). There was a significant difference in Group 2 between predicted probabilities and observed percentages (). The predicted and observed proportions of complications in the high-risk group were 38% and 13%, respectively.Conclusion. This study used individual predictions of SRC and showed that using TC-coated suture may prevent SRC. This was particularly significant in high-risk patients.

scholarly journals Single Layer Versus Double Layer Anastomosis of Small Intestine – A Comparative Study from Karnataka, India

2021 ◽  
Vol 10 (30) ◽  
pp. 2300-2304
Author(s):  
Tejaswini Murari Pawar ◽  
Ravikiran Hosur Ramamurthy ◽  
Shashirekha Chikkavenkataswamy Anjaneyulu
Keyword(s):  
Hospital Stay ◽  
Double Layer ◽  
Suture Material ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Absorbable Suture ◽  
Duration Of Hospital Stay ◽  
Absorbable Suture Material ◽  
Significant Difference ◽  
Layer Technique

BACKGROUND Intestinal anastomosis is an operative procedure that is of importance in the practice of surgery. It is a very commonly performed technique in today’s surgical era. We wanted to study the postoperative complications like anastomotic leak and abscess formation and duration of hospital stay in single layer and double layer anastomosis and compare the same. METHODS In our prospective observational study, 80 patients were reviewed and were divided into 2 groups. Cases were allotted to either group based on the odd even method requiring single- and double-layer anastomosis, odd being single layer and even being double layer anastomosis. Intestinal anastomosis was carried out in single layer technique with delayed absorbable suture material and double layer technique with inner transmural layer with delayed absorbable suture material and seromuscular layer with non-absorbable suture material. RESULTS Each group had 40 patients, there was significant difference noted between the groups. Mean duration of hospital stay in single layer group was 17.85 ± 7.62 days and in double layer group was 26.20 ± 16.12 days (P = 0.043 *). In single group, mean time taken for anastomosis was 18.50 ± 1.73 and in double group was 29.05 ± 2.19. There was significant difference in time taken between two groups (P < 0.001). In single group, majority of subjects had no anastomotic Leak (95 %) and 5 % had leak. In double group 70 % had no leak and 30 % had leak. P value was statistically significant (P = 0.037). CONCLUSIONS Single layer anastomosis was better in terms of duration of hospital stay, postoperative anastomotic leaks and time taken for anastomosis. KEY WORDS Single Layer, Double Layer, Small Bowel, Duration of Hospital Stay, Anastomotic Leaks

scholarly journals Clinical and histologic tissue responses of skin incisions closed with glycomer 631 and lactomer 9-1 using subcuticular technique in pigs

2019 ◽  
Author(s):  
Tanja Plavec ◽  
Tanja Švara ◽  
Irena Zdovc ◽  
Mitja Gombač ◽  
Marija Damjanovska ◽  
...  
Keyword(s):  
Inflammatory Response ◽  
Suture Material ◽  
Giant Cells ◽  
Tissue Reaction ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Tissue Samples ◽  
Trueperella Pyogenes ◽  
Cumulative Score ◽  
Tissue Reactions

Abstract Background: Glycomer 631 and lactomer 9-1 are absorbable suture materials indicated for soft tissue approximation in non-infected wounds. Pigs are often used as surgical models in translational research, however, the reports of tissue reactions to both suture materials in pigs are lacking. The aim of this study was to assess clinical and histologic responses of skin incisions closed with subcuticular technique using glycomer 631 and lactomer 9-1 in pigs. Results: Skin incisions of 17 pigs were closed with glycomer 631 and lactomer 9-1 and clinical reactive score (CRS) including erythema, swelling, discharge, and dehiscence was calculated on postoperative days 7 and 14. Subcuticular tissue reaction was assessed histologically on postoperative day 14 (the presence of extravascular neutrophils, macrophages, multinucleated giant cells, lymphocytes, fibroblasts, bacterial colonies, overall severity of inflammatory response to suture material), and the cumulative score of variables calculated as aggregate tissue irritation score (ATIS). Tissue samples were examined for suture extrusion and evaluated microbiologically. Clinical reactive score did not differ between the suture materials. Only one variable of ATIS, overall severity of inflammatory response, was lower ( p = 0.029) when glycomer 631 was used. Suture extrusion was found in 10/17 of incisions closed by glycomer 631 and in 7/13 of incisions closed by lactomer 9-1. Trueperella pyogenes was isolated from the skin and from the area of tissue reaction in six pigs. Conclusions: No difference in CRS between the suture materials was observed. Glycomer 631 induced less tissue reaction only in terms of overall severity of inflammatory response. Suture extrusion was observed in more than 50% of incisions regardless of the suture material. Trueperella pyogenes was the only pathogen isolated from the tissue surrounding the suture material.

scholarly journals Iliofemoral technique modification using an anchor screw as treatment of canine traumatic hip luxation - case report

2020 ◽  
Vol 72 (6) ◽  
pp. 2252-2258
Author(s):  
A.G. Rocha ◽  
R.C. Costa ◽  
G.O. Morato ◽  
D.G. Chung ◽  
J.G. Padilha-Filho ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Suture Material ◽  
Clinical Results ◽  
Suture Technique ◽  
Absorbable Suture ◽  
Suture Materials ◽  
Absorbable Sutures ◽  
Surgical Difficulty ◽  
Hip Luxation ◽  
Joint Congruence

ABSTRACT Twelve dogs with traumatic hip luxation were selected for surgical intervention with a modified iliofemoral suture technique using an anchor screw to substitute the passage of suture material through a perforated tunnel in the ilium. Six procedures were performed with non-absorbable suture and other six with absorbable suture materials. These cases were evaluated at 15, 30, 60, and 90 days after surgery by performing an ambulation analysis and palpation of the joint. In all cases, there was a return of partial and total limb support in an average of 3 and 19 postoperative, respectively. The fixation strategy of the suture material in the ilium using an anchor screw proved to be efficient with a smaller surgical approach and lesser surgical difficulty, maintaining joint congruence in acute as chronic luxation cases. The use of absorbable and non-absorbable sutures had excellent clinical results, but there was a subjective superiority of the first ones, once 4 dogs of the non-absorbable group presented some discomfort during the postoperative palpation of the joint, 90 days after surgery.

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.

scholarly journals Effectivity of the PGA rapid Atramat® and PGA Atramat® sutures for the closure of minimal invasion and abdominal-inguinal wounds in surgery

2016 ◽  
Vol 5 (1) ◽  
pp. 186
Author(s):  
Juan José Granados-Romero ◽  
Baltazar Barrera-Mera ◽  
Jesús Carlos Ceballos-Villalva ◽  
Aranza Guadalupe Estrada-Mata ◽  
Mariana Espejel-Deloiza ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Suture Material ◽  
Absorbable Suture ◽  
Site Infection ◽  
Suture Materials ◽  
Animal Hair ◽  
Low Incidence ◽  
Minimal Invasion ◽  
Vegetable Fiber ◽  
The Ideal

Background: The use of suture materials for the closure of wounds is a practice described in Egyptian parchments since 3500 b.C. through the use of linen, animal hair, vegetable fiber, silk, leather and others. The election of the ideal suture material has to be based in the appropriate resistance to traction, tissue biocompatibility and resorption rates..Methods: An open longitudinal clinical trial was performed with data recollection in a prospective way, in which was calculated the incidence of complications; dehiscence, wound seroma, surgical site infection hemorrhage and abscess when PGA Atramat® and PGA rapid Atramat® was employed in laparoscopic and open surgery for treatment of inguinal and umbilical plasties.Results: During the period from January 2016 to August 2016, the procedures included: 31 laparoscopic cholecystectomies, 18 laparoscopic fundoplications, 45 laparoscopic appendicectomies, 12 abdominal plasties and 16 inguinal plasties. This series shows the null incidence of complications in 31 cholecystectomies, 18 fundoplications, 16 inguinal plasties and 12 abdominal plasties.Conclusions: The employment of the PGA Atramat® and PGA rapid Atramat® sutures maintains the features of a braided, absorbable suture, and it also results a feasible and secure resource for its use in minimal invasion surgery, abdominal and inguinal plasties, showing low incidence of surgical site infection.

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