Literature DB >> 9013106

Physical, biological and handling characteristics of surgical suture material: a comparison of four different multifilament absorbable sutures.

E S Debus1, D Geiger, M Sailer, J Ederer, A Thiede.   

Abstract

OBJECTIVE: Four different braided absorbable surgical materials (Dexon, Dexon II Bicolor, Vicryl and Polysorb) 2/0 USP, which basically share the same indications, were studied in vitro and in vivo with regard to their physical properties as well as tissue compatibility and surgical handling. Analyzing the results the authors tried to determine the most useful suture in surgical practice.
METHOD: Physical tests to determine tensile strength, knot-breaking strength and knot security were carried out. Additionally an in vivo model (Wistar rat) was used to compare histocompatibility and loss of function due to hydrolytic resorption. Furthermore, a handling test was carried out by trained surgeons.
RESULTS: Polysorb had the highest linear tensile strength but also the fastest loss of function following tissue implantation, whereas Vicryl showed the slowest loss of function. Similar results were obtained with regard to the knot-breaking strength. After pulsatile stressing Dexon II Bicolor and Dexon showed the highest irreversible elongation followed by Vicryl and Polysorb. Polysorb had the best knotting characteristics, scoring highest also in the handling study.
CONCLUSIONS: The authors conclude that with Polysorb all features and properties of braided suture material have reached a high level of quality. This suture combines the positive characteristics of monofilament with those of multifilament materials, thus coming closest to being the 'optimal suture'.

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Year:  1997        PMID: 9013106     DOI: 10.1159/000129507

Source DB:  PubMed          Journal:  Eur Surg Res        ISSN: 0014-312X            Impact factor:   1.745


  4 in total

1.  An In Vitro and In Vivo Evaluation of Tensile Strength and Durability of Seven Suture Materials in Various pH and Different Conditions: An Experimental Study in Rats.

Authors:  Ramazan Karabulut; Kaan Sonmez; Zafer Turkyilmaz; Barıs Bagbanci; A Can Basaklar; Nuri Kale
Journal:  Indian J Surg       Date:  2010-11-23       Impact factor: 0.656

2.  Collagen- and hyaluronic acid-based hydrogels and their biomedical applications.

Authors:  Qinghua Xu; Jessica E Torres; Mazin Hakim; Paulina M Babiak; Pallabi Pal; Carly M Battistoni; Michael Nguyen; Alyssa Panitch; Luis Solorio; Julie C Liu
Journal:  Mater Sci Eng R Rep       Date:  2021-07-30       Impact factor: 33.667

3.  Two-month longitudinal study of mechanical properties of absorbable sutures used in orthopedic surgery.

Authors:  Daniel A Müller; Jess G Snedeker; Dominik C Meyer
Journal:  J Orthop Surg Res       Date:  2016-10-12       Impact factor: 2.359

4.  Tensile Strength of Novel Nonabsorbable PTFE (Teflon®) versus Other Suture Materials: An In Vitro Study.

Authors:  José Arce; Alondra Palacios; Daniel Alvítez-Temoche; G Mendoza-Azpur; Percy Romero-Tapia; Frank Mayta-Tovalino
Journal:  Int J Dent       Date:  2019-10-09
  4 in total

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