The plane chosen is either the dermis or just deep to the dermis in the superficial subcutaneous fascia. A newly released suture was used in a series of 80 head and neck patients and the results compared to the surgeons experience with other absorbable suture materials. Absorbable suture material an overview sciencedirect. They are used in many of the internal tissues of the body. Meyle suture materials and suture techniques figs 10a and 10b approximation of the wound edges after tooth extraction by overlying, crossedover mattress stitch. As shown in figure 114, the suture is anchored at one end of the laceration. The different types of sutures can be classified in many ways. Construction monofilament nonabsorbable coating not coated color blue and clear available size range 2 through 100 strength retention profile indefinite absorption time nonabsorbable suture is encapsulated in tissues absorption process nonabsorbable frequent uses general, plastic, cardiovascular surgery and skin closure.
One strand is used, without interruption, for the entire laceration. First, suture material can be classified as either absorbable or nonabsorbable. Sutures to be placed in a stressful environment, for example the heart constant pressure and movement or the bladder adverse chemical presence may require specialized or stronger materials to perform their role. What are the types of absorbable synthetic sutures. Dermalon monofilament nylon sutures are inert, nonabsorbable, sterile surgical sutures, which are available dyed blue to provide visibility compared to other nylon sutures.
Class i suture is composed of silk or synthetic fibers of monofilament, twisted, or braided construction where the coating, if any, does not significantly affect thickness e. Sutures come as either absorbable or nonabsorbable. Polyglycolic acid sutures dexon pga sutures coated and braided suture. Terylene is a nonabsorbable suture material that has proved its worth in all. Pdf comparison of absorbable with nonabsorbable sutures in. Pdf comparison of absorbable with nonabsorbable sutures.
Polyglactin 910 sutures vicryl pgla sutures coated and braided suture. Nonabsorbable sutures ordinarily remain where they are buried. Though absorbable suture theoretically provides the greatest potential for growth, some surgeons use nonabsorbable suture material for the anastomoses. With all absorbable sutures, strength is lost long before absorption takes place.
Nonabsorbable sutures may be used as deep sutures to. A lubricant is applied on the surface of braided suture material to lower the tissue drag and. There are many different types of sutures, just like there are many different kinds of procedures and injuries. Silk, linen and even nylon all lose strength within the body. No need for the patient to have the sutures removed. Although classed as a nonabsorbable suture, nylon has been shown in animal and human studies to degrade during the 1st few months it is in place in the corneoscleral wound. Pdf there is longstanding disagreement among facial plastic surgeons as to the ideal suture material for closing skin wounds of the face. Nonabsorbable surgical suture is classed and typed as follows. Absorbable synthetic sutures are composed of chemical polymers that are absorbed by hydrolysis and cause a lesser degree of tissue reaction after placement. Advantages synthetic nonabsorbable materials do not elicit tissue. Comparison of absorbable with nonabsorbable sutures in closure of facial skin wounds article pdf available in archives of facial plastic surgery 56. Dermalon sutures are used in general soft tissue approximation andor ligation, including use in cardiovascular, ophthalmic, and neurological surgery. Examples of true nonabsorbable sutures are polyesters, polyethylene.
394 216 269 1280 84 680 157 1054 654 496 666 606 152 454 3 147 599 71 1219 255 627 1342 611 773 336 346 233 1120 981 1243 896 837 1175 1434 851 775 540 894 1091 1165 148 1082 754