Ease of continuous dermal suture removal

Pham, Son T.; Rodeheaver, George T.; Dang, Minh-Chau; Foresman, PamelaA.; Hwang, JimC.; Edlich, R F

doi:10.1016/0736-4679(90)90442-x

Cited by 12 publications

(3 citation statements)

References 6 publications

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“…Tendon-to-bone and tendon-to-tendon repairs often are done under tension, and in these cases, a common clinical practice is to hold the knotted suture with a surgical clamp following the first throw to prevent gap formation at the repair site while subsequent knot throws are made [5,9,10,13]. Despite this practice, there is little data evaluating the effect that suture clamping has on the structural properties of the suture or on knot integrity [1][2][3]17].…”

Section: Introductionmentioning

confidence: 99%

Effects of using a surgical clamp to hold tension while tying knots with commonly used orthopedic sutures

Bisson

Sobel

Godfrey

2011

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionmentioning

confidence: 99%

Effects of using a surgical clamp to hold tension while tying knots with commonly used orthopedic sutures

Bisson

Sobel

Godfrey

2011

Knee Surg Sports Traumatol Arthrosc

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“…11 Polypropylene 6-0 was used in this study for the columellar skin closure because it is the least reactive suture material and encounters the least drag forces with tissue. 12 Percutaneous sutures may damage tissue defenses, encouraging bacterial growth to a greater degree than that encountered with tissue adhesives. 13,14 Although minute, three stitch abscesses developed in the suture group.…”

Section: Discussionmentioning

confidence: 99%

Butylcyanoacrylate tissue adhesive for columellar incision closure

et al. 2001

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Cosmetic outcome of the columellar incision closure in external rhinoplasty patients has been a subject of discussion. This study was conducted to assess whether tissue adhesives provide an alternative option for sutureless closure of columellar skin incisions for cases utilizing open technique rhinoplastic surgery. One hundred and one patients undergoing external rhinoplasty were randomized to either topical application of butylcyanoacrylate or polypropylene sutures for columellar skin closure. The majority of tension on the wound edges was taken up using 5-0 chromic catgut. Cosmetic outcomes were evaluated by two otolaryngologists independently using visual analogue and Hollander wound evaluation scales in a blinded manner. There was no statistically significant difference in cosmesis between the surgeons' evaluation scores for either type or repair of the columellar incision. Since the tissue adhesive forms its own protective barrier, post-operative care is simplified. Closure with adhesives eliminates the need for post-operative suture removal requiring an extra visit that should lead to more efficient use of physician and patient time. Butylcyanoacrylate performs cosmetically as well as standard suture closure of columellar skin incision used for external rhinoplasty.

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“…[ 9,80 ] The hydrolytic mechanism seems to be the main mechanism of Commonly applied materials Degradable and non-degradable polymers [46] 316L steel, titanium, high strength polymers in children [56,59] Suture structure Mono-or polyfi lament; braided if resorbable [64] Monofi lament for nonabsorbable sutures preferred [66] Monofi lament preferred [65] Closure method Tight knots [64] Figure-of-eight or straight twisted [55] Durability • 10 days percutaneously [53] • Facial sutures can be removed within 5 to 7 days post surgery [67] • Extremity suture removal 10 to 14 days post surgery [69] • Up to 2 Years; [55] min. of 20% of remaining strength after 3 weeks for patients with low muscular strength [68] • PDS tensile strength at 50% at fourth to fi fth week [60,69] Max.…”

Section: Polymers Used Mechanisms Of Degradation and Biocompatibilitymentioning

confidence: 99%

Recent Advances in Biodegradable Metals for Medical Sutures: A Critical Review

Seitz

Ďurišin

Goldman

et al. 2015

Adv Healthcare Materials

215

158

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Sutures that biodegrade and dissolve over a period of several weeks are in great demand to stitch wounds and surgical incisions. These new materials are receiving increased acceptance across surgical procedures whenever permanent sutures and long-term care are not needed. Unfortunately, both inflammatory responses and adverse local tissue reactions in the close-to-stitching environment are often reported for biodegradable polymeric sutures currently used by the medical community. While bioabsorbable metals are predominantly investigated and tested for vascular stent or osteosynthesis applications, they also appear to possess adequate bio-compatibility, mechanical properties, and corrosion stability to replace biodegradable polymeric sutures. In this Review, biodegradable alloys made of iron, magnesium, and zinc are critically evaluated as potential materials for the manufacturing of soft and hard tissue sutures. In the case of soft tissue closing and stitching, these metals have to compete against currently available degradable polymers. In the case of hard tissue closing and stitching, biodegradable sternal wires could replace the permanent sutures made of stainless steel or titanium alloys. This Review discusses the specific materials and degradation properties required by all suture materials, summarizes current suture testing protocols and provides a well-grounded direction for the potential future development of biodegradable metal based sutures.

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Ease of continuous dermal suture removal

Cited by 12 publications

References 6 publications

Effects of using a surgical clamp to hold tension while tying knots with commonly used orthopedic sutures

Effects of using a surgical clamp to hold tension while tying knots with commonly used orthopedic sutures

Butylcyanoacrylate tissue adhesive for columellar incision closure

Recent Advances in Biodegradable Metals for Medical Sutures: A Critical Review

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