Surgical Sutures - A Review

Goel, Ashish

doi:10.7869/djo.161

Cited by 21 publications

(13 citation statements)

References 19 publications

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“…In the current study, SEM images of the bioabsorbable sutures during different time points of degradation, confirm surface degradation as the primary mechanism of degradation (Figure 11C). This form of degradation is ideal in suture materials where a sudden, rapid loss of suture material can lead to wound dehiscence and failure of the wound to heal 47 . However, gradual removal of the material from the bioabsorbable suture surface will provide continuous, diminishing support to the wound as it heals and regains its own strength.…”

Section: Resultsmentioning

confidence: 99%

“…This form of degradation is ideal in suture materials where a sudden, rapid loss of suture material can lead to wound dehiscence and failure of the wound to heal. 47 However, gradual removal of the material from the bioabsorbable suture surface will provide continuous, diminishing support to the wound as it heals and regains its own strength. In Figure 11C, only a single, thin layer of the bioabsorbable suture remained after 28 days of incubation.…”

Section: In Vitro Drug Release Of the Lipid-drug Coated Bioabsorbable...mentioning

confidence: 99%

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Synthesis of a novel monofilament bioabsorbable suture for biomedical applications

et al. 2022

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In this research, a novel bioabsorbable suture that is, monofilament and capable of localized drug delivery, was developed from a combination of natural biopolymers that where not previously applied for this purpose. The optimized suture formulation comprised of sodium alginate (6% wt/vol), pectin (0.1% wt/vol), and gelatin (3% wt/vol), in the presence of glycerol (4% vol/vol) which served as a plasticizer. The monofilament bioabsorbable sutures where synthesized via in situ ionic crosslinking in a barium chloride solution (2% wt/vol). The resulting suture was characterized in terms of mechanical properties, morphology, swelling, degradation, drug release, and biocompatibility, in addition to Fourier‐transform infrared (FTIR) spectroscopy, Powder X‐ray Diffraction (PXRD) and Differential Scanning Calorimetry (DSC) analysis. The drug loaded and non‐drug loaded sutures had a maximum breaking strength of 4.18 and 4.08 N, in the straight configuration and 2.44 N and 2.59 N in the knot configuration, respectively. FTIR spectrum of crosslinked sutures depicted Δ9 cm−1 downward shift for the carboxyl stretching band which was indicative of ionic interactions between barium ions and sodium alginate. In vitro analysis revealed continued drug release for 7 days and gradual degradation by means of surface erosion, which was completed by day 28. Biocompatibility studies revealed excellent hemocompatibility and no cytotoxicity. These results suggest that the newly developed bioabsorbable suture meets the basic requirements of a suture material and provides a viable alternative to the synthetic polymer sutures that are currently on the market.

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Section: Resultsmentioning

confidence: 99%

Section: In Vitro Drug Release Of the Lipid-drug Coated Bioabsorbable...mentioning

confidence: 99%

Synthesis of a novel monofilament bioabsorbable suture for biomedical applications

et al. 2022

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“…Nylon (polyamide suture), a synthetic non absorbable suture has two forms of presentation: monofilament and braided. Monofilament nylon has high tensile strength and minimal tissue reactivity [19]. When analyzing the microbial affinity of the two types of nylon threads, researchers found that braided has five to eight times higher affinity when compared to monofilament, this being attributed to the capillary nature of braided materials [20,21].…”

Section: Resultsmentioning

confidence: 99%

The Biomechanical Properties of Suture Materials and Their Relationship to Bacterial Adherence

Maftei¹,

Mârţu²,

Popa³

et al. 2019

Mat.Plast.

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Sutures are classified into non-absorbable and absorbable, and mechanical properties of these materials vary by the composition. In this study we analyze four different types of sutures used commonly in surgery: silk, nylon, polyglycolic acid (PGA) and polytetrafluoroethylene (PTFE). The materials were chosen to represent a wide range of suture material categories: absorbable and nonresorbable, monofilament and multifilament, natural and synthetic in order to assess their mechanical properties but also the bacterial adherence to each type. The objective of this study was to measure the total bacterial adherence by using real time PCR at 7 days postop and to analyze the antibacterial and mechanical properties comparatively depending on the type and composition of sutures. Tensile properties such as maximum tensile load, elongation rate, stiffness and energy absorbed before breakage were taken into consideration. Experimental determination pointed out that the average total bacterial load was lowest for PTFE and highest for silk. The results of the study are useful in choosing an appropriate suture wire according to the mechanical properties taking into account the bacterial load of the surgical site in order to aid in tissue repair.

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“…The material used is determined by the tissue's requirements. An increasing number of materials and suturing techniques are described in the literature [ 3 ]. The sutures used in dentoalveolar surgery represent a risk factor for the healing of surgical wounds because they are prone to the adherence of pathogenic bacteria.…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial Activity of Chlorhexidine and Herbal Mouthwash Against the Adherence of Microorganism to Sutures After Periodontal Surgery: A Clinical Microbiological Study

Garg¹,

RG²,

Sinha³

et al. 2022

Cureus

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Introduction: Chemical plaque control agents assist to eliminate plaque microorganisms. Therefore, the purpose of this research was to compare the effectiveness of a herbal mouthwash (HiOra TM ) and a mouthwash containing 0.2% chlorhexidine in preventing bacteria from adhering to sutures in participants who had had periodontal flap surgery.Material and methods: 75 patients with chronic periodontitis were included in the study and divided into three groups. Plain water, herbal, and chlorhexidine mouthwashes were given after periodontal surgery, and sutures were removed on the eighth postoperative day and sent for microbial analysis. Further plaque index (PI) and gingival index (GI) were recorded at baseline and on the eighth postoperative day.Results: Different aerobic bacterial species were isolated, namely Staphylococcus aureus (S. aureus), coagulase-negative staphylococci (Cons), Escherechia coli (E. coli), Klebsiella bacteroides, and Streptococcus mutans (S. mutans). Significant differences were found among colony-forming units (CFUs) of bacterial species in different groups, and it is found that chlorhexidine mouthwash is quite effective against the adherence of microorganisms to sutures after periodontal surgery as compared to the control group and herbal mouthwash group. Herbal mouthwash has less antimicrobial activity when compared to chlorhexidine, but herbal mouthwash is highly effective against microbial adherence to sutures when compared to the control group (plain water). Significant variations between groups are shown in the PI and GI scores, indicating that chlorhexidine is successful in lowering the PI and GI scores and that herbal rinse is also helpful in reducing these scores, but to a lesser extent than chlorhexidine. Conclusion:According to the findings of this research, sutures are at risk for developing bacterial infections. However, the adhesion of microbes to sutures may be decreased with the adjunctive use of antimicrobial medicines such as chlorhexidine and herbal mouthwashes, which will result in improved wound healing. Herbal mouth rinses are effective in killing germs. However, chlorhexidine is far more effective in this regard.

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Surgical Sutures - A Review

Abstract: Abstract

Cited by 21 publications

References 19 publications

Synthesis of a novel monofilament bioabsorbable suture for biomedical applications

Synthesis of a novel monofilament bioabsorbable suture for biomedical applications

The Biomechanical Properties of Suture Materials and Their Relationship to Bacterial Adherence

Antimicrobial Activity of Chlorhexidine and Herbal Mouthwash Against the Adherence of Microorganism to Sutures After Periodontal Surgery: A Clinical Microbiological Study

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