Bottom right image shows a flask-shaped stitch, which maximizes eversion. Plast Reconstr Surg. [Medline]. (C) Reverse cutting needle. 2009 Nov. 88(5):1445-9. [Medline]. 2004. Vicryl is similar to Dexon in terms of mechanical and absorption characteristics.
[Medline]. Nylon is second to polypropylene in strength. Polyglactin 910 sutures had a higher cumulative incidence of suture extrusion than Polysorb sutures did (31% vs 19%). Tera H, Aberg C. Tissue holding power to a single suture in different parts of the alimentary tract.
[Medline]. (A) Taper-point needle. Silva-Siwady JG, Díaz-Garza C, Ocampo-Candiani J.
2005 Mar. Fluid absorption: The degree to which a suture will absorb fluid following immersion. Rodeheaver GT, Nesbit WS, Edlich RF. Caprosyn has approximately twice the initial loop strength of chronic gut suture and less tissue drag and knot security than chromic gut. Chacon AH, Shiman MI, Strozier N, Zaiac MN. 2009 Aug. 20(8):1729-41. [Medline]. practice session, PDS-Polydioxanone suture an antibacterial coated sterile suture used in abdominal wall closure, fascia, etc. The amount of time this takes depends on the material, but also the location of insertion and the individual patient characteristics. Desiree Ratner, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American Medical Association, American Society for Dermatologic Surgery, Phi Beta KappaDisclosure: Nothing to disclose. 2011 Oct. 37(10):1503-5. A novel surgical technique: placement of the suture lateral to the punch biopsy defect. The properties and characteristics of suture are described using the following terms: Breaking strength: The stress value on the stress-strain curve at which suture acutely fails. Dermatol Surg. Plast Reconstr Surg. Semin Cutan Med Surg. Experimental studies in swine for measurement of suture extrusion. [Medline]. The surface of multifilament suture is frequently rough and hence has greater tissue drag but frequently improved knot security. [Medline]. The cumulative incidence of suture extrusion over 5 weeks ranged from 10% to 33%.
Far-near near-far modification of vertical mattress suture, creating pulley effect. Consequently the absorption is extremely variable depending on local conditions and extent of inflammation.
Monocryl loses 70% to 80% of its tensile strength at 1 and 2 weeks. Relationship of cellular enzyme activity to catgut and collagen suture absorption.
Pineros-Fernandez A, Drake DB, Rodeheaver PA, Moody DL, Edlich RF, Rodeheaver GT. Lee CJ, Park JH, You SH, Hwang JH, Choi SH, Kim CH. J Long Term Eff Med Implants. Pourang A, Crispin MK, Clark AK, Armstrong AW, Sivamani RK, Eisen DB. Monofilament suture tends to be less pliable and higher memory which can reduce the handling properties. Yag-Howard C. Zipper stitch: a novel aesthetic subcutaneous closure. Maxon retains approximately 50% of its tensile strength after 4 to 5 weeks. The PDS suture knots must be properly placed to be secure.
Catgut incites an inflammatory reaction and is absorbed by an enzymatic process. The effect of stitch type on flap tip blood flow. A subcutaneous corset plication rapidly and effectively relieves tension on large linear closures. [24] With Polysorb sutures, the five-throw surgeon’s knot had a higher cumulative incidence of suture extrusion than the three-throw or four-throw surgeon’s knot (30% vs 17% and 10%, respectively).
Biomechanical performance of a braided absorbable suture. When tested against Vicryl, Mersilene, silk, nylon and Prolene, Dexon has the highest breaking stress. Am J Surg. 2:CD011757.
Skin surface remains intact along length of suture line. Demyttenaere SV, Nau P, Henn M, Beck C, Zaruby J, Primavera M, et al. Dermatol Surg. 2013 Sep. 39(9):1340-4. 8(3):253-63. [Medline]. Edlich RF, Wind TC, Heather CL, Thacker JG. Absorption of PDS is significantly prolonged with approximately 50% of its initial tensile strength remaining at 5 to 6 weeks. Biosyn is relatively rapidly absorbed with approximately 50% loss of tensile strength at 2 to 3 weeks and is completely absorbed at 90 to 110 days. 2009 Nov. 35(11):1806-8. Equal cosmetic outcomes with 5-0 poliglecaprone-25 versus 6-0 polypropylene for superficial closures. Dermatol Surg. [24] Standard, full-thickness skin incisions were made on each leg and abdomen. 2005 Jan-Feb. 29(1):53-8. [Medline]. [Medline]. 2003 Dec. 22(4):306-16. 2010 Jul.
81 (1):213-218. [Medline]. Multifilament sutures are generally stronger and more pliable than a monofilament of the same material and size. The theoretical ideal suture has the following properties: Common Absorbable Sutures - Short Duration. Hasan Z, Gangopadhyay AN, Gupta DK, Srivastava P, Sharma SP. 2004 Jan. 50(1):73-6. Journal Article.
(B) Conventional cutting needle. Knot strength: The force necessary to cause a knot to slip. Desiree Ratner, MD Clinical Professor of Dermatology, NYU Langone Health [Medline]. 2008 Aug. 34(8):1041-7. An innovative absorbable coating for the polybutester suture. Nitsch A, Pabyk A, Honig JF, Verheggen R, Merten HA. [Medline].
71(3 Pt 1):418-22. 2009 Dec. 25(12):1123-5. A study by Lin et al found the handling characteristics of Polysorb sutures to be superior to those of polyglactin 910 (Vicryl) sutures.
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