Torsion of monofilament and polyfilament sutures under tension decreases suture strength and increases risk of suture fracture

Hennessey, Derek; Carey, Enda; Simms, Ciaran; Hanly, Ann; Winter, D. C.

doi:10.1016/j.jmbbm.2012.02.001

Cited by 13 publications

(10 citation statements)

References 22 publications

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“…The variations in the behavior of the different types of suture materials have been widely studied in vivo, in vitro, experimentally and clinically, each study emphasizing the qualities of each one of them. In general, the monofilaments are appointed as more advantageous, because the multifilamentary provide conditions for the development of infection, since bacterial colonies are formed in spaces between filaments [5,6]. Absorbable natural yarns (catgut) are responsible for the most intense inflammatory reaction among all suture, besides presenting a time very short and unpredictable absorption.…”

Section: Resultsmentioning

confidence: 99%

“…Absorbable natural yarns (catgut) are responsible for the most intense inflammatory reaction among all suture, besides presenting a time very short and unpredictable absorption. The emergence of the synthetic absorbable was very promising for several reasons: a) trigger inflammatory reactions significantly smaller than natural absorbable; b) keep much of your resistance until the absorption process begins and if complete; c) are available with times of absorption short, medium and long, giving opportunity to the surgeon choose the suitable wire for each case; d) quality mechanics of us is the same for all the wires tested synthetic absorbable [4][5][6].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Sutures: The Necessary Update of Current Knowledge

Araújo-Neto¹,

Dantas²,

Sampaio³

et al. 2018

JGPLD

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Objective: to describe the physical characteristics and biological of the wires of more sutures used in surgical practice daily and their indications. Methods: Review was conducted of literature through to search in the databases Pubmed, Embase, Web of Science and Scopus. Results: were described data on the qualities of the ideal suture, general classification and descriptive, criteria for use and the physical and biological characteristics of absorbable sutures, wires, monofilaments and multifilamentary. Conclusion: it was possible to synthesize the current knowledge the respect of strands of suture, to be used by students of medicine, surgery residents, surgeons and its subspecialties.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Surgical Sutures: The Necessary Update of Current Knowledge

Araújo-Neto¹,

Dantas²,

Sampaio³

et al. 2018

JGPLD

View full text Add to dashboard Cite

show abstract

“…In Hennessey et al's study of suture strength and fracture, it was found that PDS could tolerate a higher maximum tensile force than nylon, and excessive twisting could lead to a greater decrease in tensile strength in PDS than that in nylon. Namely, compared with nylon, PDS can possess a greater strength but would degrade in tensile force when over-twisted as a result of the risk of suture fracture [38].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Absorbable and Non-Absorbable Sutures on Nasal Width Following Cinch Sutures in Orthognathic Surgery

et al. 2021

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Background: Non-absorbable materials (nylon) are always used in cinch sutures to maintain nasal width and to improve harmonious facial symmetry in orthognathic surgery. However, a few drawbacks of nylon materials have been clinically reported following orthognathic surgery, such as nasal irritation and exposure of the sutures. An absorbable material (PDS) has been proposed in cinch sutures, not only to avoid the complications of nylon but also to stabilize the nasal width for a long-term follow-up. Methods: Fifty-seven patients with Angle’s malocclusion classification III receiving orthognathic surgery were enrolled in this study. A non-absorbable material (nylon) and an absorbable material (PDS) were utilized for the cinch sutures. Pre-operative (T1) and post-operative six-month (T2) craniofacial 3D images were collected for all patients to measure the alar curvature (Ac) width and the alar base (Al) width. A significance level of p < 0.05 was applied in the statistical analysis. Results: With the approval of IRB, cinch suturing was performed with nylon in 29 patients and with PDS in 28 patients. Pre-operative Ac and Al distances showed no significant difference between these two groups. There were also no significant differences between the suture materials in the peri-operative change in nasal width, including Ac (nylon: 1.999 ± 1.40; PDS: 1.484 ± 0.97; p = 0.112) and Al (nylon: 1.861 ± 1.66; PDS: 1.115 ± 0.92; p = 0.056). Conclusions: For cinch sutures in orthognathic surgery, PDS can maintain the peri-operative nasal width similarly to nylon; additionally, it can be absorbed in a timely manner without the drawbacks of non-absorbable materials.

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“…By using thin monofilament resorbable suture material postoperative scarring is minimized. Care should be taken to tie the sutures free of tension and torsion [6]. Polyfilament sutures might cause additional shear trauma to the muscle elements.…”

Section: Methodsmentioning

confidence: 99%

Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption

Rehder

Schillfahrt

Skradski

2014

Case Reports in Urology

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The question is whether the urethral sphincter may be reconstructed after longitudinal injury similar to anal sphincter injuries. Analogue to obstetric, anal sphincter repair, an approximation repair of the sphincter may be feasible. An overlap repair is possible in anal sphincter repair, but because of the little tissue available in the urethral sphincter this is not an option. We describe three cases of urethral sphincter injury of different aetiologies. All resulted in a total longitudinal disruption of the muscular components of the urethral sphincter complex. After making the diagnosis of urethral sphincter injury, a primary approximation repair was done. Follow-up of at least two and up to three years is promising with one male patient being completely continent and the two female patients needing one safety pad per day. Longitudinal disruption of the muscular elements of the sphincteric urethra may be primarily reconstructed with good success using an approximation technique with simple interrupted sutures.

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Torsion of monofilament and polyfilament sutures under tension decreases suture strength and increases risk of suture fracture

Cited by 13 publications

References 22 publications

Surgical Sutures: The Necessary Update of Current Knowledge

Surgical Sutures: The Necessary Update of Current Knowledge

The Effect of Absorbable and Non-Absorbable Sutures on Nasal Width Following Cinch Sutures in Orthognathic Surgery

Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption

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