Surgical suture–canine tissue interaction for six common suture types

Abstract

SummaryMaximum extraction stress and integrated extraction work were measured for sutures implanted for 3, 7, and 14 day periods. Six common non-absorbable sutures, representative of braided and monofilamentary forms, were implanted subdermally and were used for cutaneous incision closure with purebred pointer dogs. The data show: ( 1 ) Braided sutures, polyester/Teflon, silk-type B, and silk-silicone interacted with peripheral tissue to a significantly greater degree than the monofilamentary types, nylon, polypropylene, and polyethylene; ( 2 ) polyester-Teflon braided suture interacted to a lesser degree than the other braided sutures; (3) the relatively intense interaction of plain silk and siliconetreated silk appears to reflect the combined effects of mechanical aspects of braiding and of biochemical response; and (4) all braided sutures swelled over the implantation periods with as much as a 70% increase in diameter after 14 days for silk.

Analysis of functionalized polyethylene terephthalate with immobilized NTPDase and cysteine

“…PET has a wide range of medical applications, including vascular prostheses [3][4][5][6], heart valve sewing cuffs [7][8][9], implantable sutures [10,11] and surgical mesh [12,13]. As a number of PET applications involve contact with blood, hemocompatibility is a major concern.…”

The pH dependence of monofilament sutures on hydrolytic degradation

“…For this purpose, there are currently two kinds of synthetic absorbable sutures when classified on the basis of filament type; monofilament and multifilament or braided sutures. Monofilament sutures are advantageous over multifilament with respect to knot tie down, 1,2 tissue drag, 3,4 and risk of infection. [5][6][7][8][9] Degradation kinetics of absorbable sutures are also important, if the pH level of tissues or body fluids deviates greatly from pH 7.3.…”

Structural grafts and suture techniques in functional and aesthetic rhinoplasty

“…Among the non-resorbable suture materials, Prolene ® seems to be the most stable material and retains its tensile strength in contrast to Nylon ® even in acidic environments [133], [134]. The risk of extrusion of visible, colored non-resorbable suture material through the external skin is low, but certainly also deserves consideration.…”