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Systematic review and meta-analysis of surgical suture strength according to the type, structure and geometry of suture materials

Andryszczyk Marek, Topoliński Tomasz

Acta of Bioengineering and Biomechanics

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2021

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Vol. 23, no. 4

191--200

EN

Purpose: As a rule, wound healing is a natural and spontaneous process. However, in acute or surgical wounds, the wound edges need to be approximated and held together by artificial means. Surgery within the abdominal cavity or elsewhere almost always involves cutting through the skin, after which a medical procedure is conducted, followed by wound closure. The suture provides temporary mechanical support during the natural healing process of the affected tissues. Not only does it stimulate the primary wound healing, but also provides mechanical protection against wound dehiscence. Methods: This analysis is intended to juxtapose the basic factors that contribute to a change in suture strength and the possible failure of surgical sutures, which may affect the wound healing process and increase the risk of postoperative complications. Results: The preliminary search criteria used in the databases included keywords such as: “strength of suture materials”, “strength of surgical sutures”, “surgical knot strength”. Five key articles were ultimately selected from a pool of 336 articles first identified based on these search criteria. Next, a meta-analysis of the literature data was performed, taking into account factors such as the type of suture materials used, biological conditions and model conditions used in research, having a significant impact on the mechanical properties of surgical sutures. Conclusions: This comparison revealed considerable variations in the suture strength between different sutures of the same size, it also demonstrated that the decrease in suture strength strongly depends on the finished suture and the thread type.

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Effect of Ringer's solution on tensile strength of non-absorbable, medium- and long-term absorbable sutures

Karpiński R., Szabelski J., Maksymiuk J.

Advances in Science and Technology. Research Journal

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2017

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Vol. 11, no 4

11--20

EN

The paper presents an experimental and correlational study of mechanical properties of selected surgical sutures. The research methods employed in the study consisted in conducting tensile strength tests on suture material and subjecting the obtained data to statistical analysis. The changes in tensile strength of absorbable sutures measured in tests were subsequently collated with results for suture material samples that were not exposed to Ringer’s solution. The results were, furthermore, compared with manufacturer’s specifications concerning suture absorption time in the body. The detailed analysis of differences between results presented in the study allowed us to formulate conclusions regarding the impact of exposure to Ringer’s solution on the strength of surgical sutures.

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Bioactive surgical sutures

Zhukovsky V.

Autex Research Journal

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2003

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Vol. 3, no. 1

41--45

EN

Investigations carried out into the development of bioactive surgical sutures and radioactive fibres are presented. Anti-microbial surgical sutures, which for a long period provide the wound with the antibiotics settled in their structure, can be of considerable use for precautions and treatment of surgical sepsis. Simultaneously the hydrolytic influence of proteolytic enzymes on the necrotising tissues, which serve as a nutrient medium for microbes, is desirable. The anaesthetic and anticancerous properties of sutures are also of such importance. Antibiotics (such as clindamycin, gentamycin, lincomycin etc.), proteolytic enzymes (such as tripsin and pepsin), anaesthetics (such as lidocaine, novocaine, trimecaine, and pyrocaine), and anti-tumour medicaments (such as prospydin, 5-fluorocyl, sarcolysin etc.) were fixed by us separately or in different combinations onto cation-exchanging polypropylene fibres with the help of ion-exchanging bonds. A principally new type of biologically active surgical fibres is radioactive fibres which exhibit their action by the emanation of ionising radiation from radioactive isotopes fixed in the fibres' structure. Sulphur-35 isotopes emanating soft beta-rays, and phosphorus-32 isotopes emanating much harder electrons were fixed by us onto polypropylene, polyethylene terephthalate, polyamide, and polyvinyl alcohol fibres by firm covalent bonds. Biological, medical and clinical tests showed the high effectiveness of the biological active sutures developed by us, as well as that of the radioactive surgical fibres used in different forms.