Creep Behavior of Commonly Used Suture Materials in Abdominal Wall Surgery

Nout, Erik; Lange, Johan F.; Salu, Nathalie E.; Wijsmuller, A. R.; Hop, Wim C. J.; Goossens, Richard; Snijders, Chris J.; Jeekel, J.; Kleinrensink, Gert Jan

doi:10.1016/j.jss.2006.06.001

Cited by 16 publications

(17 citation statements)

References 21 publications

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“…9,11,18 These studies have shown the viscoelastic properties of commonly used suture and that creep does occur under physiologic loading as defined by a percentage of elongation with repeated dynamic forces.…”

Section: Discussionmentioning

confidence: 99%

Maintenance of Reduction With Suture Button Fixation Devices for Ankle Syndesmosis Repair

Peterson

Chapman²,

Hyer

et al. 2015

Foot Ankle Int.

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Section: Discussionmentioning

confidence: 99%

Maintenance of Reduction With Suture Button Fixation Devices for Ankle Syndesmosis Repair

Peterson

Chapman²,

Hyer

et al. 2015

Foot Ankle Int.

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“…Barbed sutures do, however, offer other benefits such as avoiding the need for knots and a good tissue retention capacity that avoids the slippage produced by monofilament sutures. This aspect is interesting; in a comparative study [38] polypropylene was noted to cause more slippage than polydioxanone.…”

Section: Discussionmentioning

confidence: 99%

New suture materials for midline laparotomy closure: an experimental study

et al. 2014

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BackgroundMidline laparotomy closure carries a significant risk of incisional hernia. This study examines the behavior of two new suture materials, an elastic material, polyurethane (PUe), and a barbed polydioxanone (PDXb) suture thread in a rabbit model of midline incision closure.MethodsThree 2-cm midline incisions were made in 68 New Zealand White rabbits. The incisions were closed by running suture using four 3/0 threads: polypropylene (PP) (Surgipro®, Covidien), PUe (Assuplus®, Assut Europe), PDX (Assufil®, Assut Europe) or PDXb (Filbloc®, Assut Europe). Animals in each suture group were euthanized 3 weeks and 6 months after surgery. Histological sections of the tissue-embedded sutures were subjected to morphological, collagen expression, macrophage response and uniaxial tensiometry studies.ResultsNo signs of wound dehiscence or complications were observed. At 3 weeks, all sutures were surrounded by connective tissue composed mainly of collagen III. PUe showed greater collagen I expression than the other sutures. All sutures elicited a macrophage response that diminished from 3 weeks to 6 months (p < 0.001). This response was similar for the non-reabsorbable sutures (PP and PUe) yet PDXb showed a significantly greater response than the other reabsorbable suture (PDX) at 3 weeks (p < 0.01). At this early time point, the tensile strength of PUe was similar to that of control intact tissue (p > 0.05).ConclusionThree weeks after surgery, PUe revealed more collagen I deposition than the remaining materials and this translated to a similar biomechanical behavior to linea alba, that could avoid the appearance of short term dehiscences and thus reduce the incidence of incisional hernia. PDXb provides no additional advantages in their behavior regarding PDX suture.

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“…The type of primary wound closure has also elicited much discussion. Whether a continuous or single-button technique or whether quickly or slowly absorbable or nonabsorbable sutures should be used and what suturing distance should be observed for closure are the focus of experimental and clinical studies [5,6,8,19]. It is hoped that a multicenter trial currently underway will provide answers to some of these questions (INSECT Trial) [20,21].…”

Section: Introductionmentioning

confidence: 99%