This
study comprises the fabrication of a radiopaque gut material
with its mechanical properties conforming to the US Pharmacopeia guidelines
giving an antimicrobial advantage for suture application, especially
in conditions such as diabetes mellitus, which has a high wound infection
rate. Schiff base cross-linking iodination of the material is evinced
by the spectroscopic studies, and antimicrobial properties owing to
released iodine are evinced through in vitro studies. Modified gut
sutures demonstrated favorable physicomechanical features such as
appropriate tensile strength (440 ± 20 MPa) and knot strength
(270 ± 20) alongside a mean radiopacity value of 139.0 ±
10 in comparison with that of the femoral shaft with 160 ± 10.
The diabetic model showed absence of clinical signs of infection,
supported by wound swab culture and the absence of necrosis in histology.
Hemocompatibility studies evinced the absence of contact platelet
activation and hemolysis alongside the customary coagulation response.
These promising results highlight the stimulating potential of the
process in the development of biomedical applications, necessitating
persistent studies for its evidence-based applicability, particularly
in diabetic patients.