A clinical study on the influence of suturing material on oral wound healing

Gazivoda, Dragan; Pelemiš, Dejan; Vujaskovic, Goran

doi:10.2298/vsp140401064g

Cited by 25 publications

(20 citation statements)

References 11 publications

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“…There is no ideal suture, but vegetal fibers allow the organization of the tissue with rapid healing similar to the silk suture used as a control. Other commercial sutures such as catgut, Dexon, and Vicryl have been reported to induce an inflammatory response [ 76 ].…”

Section: Discussionmentioning

confidence: 99%

Natural Cellulose Fibers for Surgical Suture Applications

et al. 2020

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Suture biomaterials are critical in wound repair by providing support to the healing of different tissues including vascular surgery, hemostasis, and plastic surgery. Important properties of a suture material include physical properties, handling characteristics, and biological response for successful performance. However, bacteria can bind to sutures and become a source of infection. For this reason, there is a need for new biomaterials for suture with antifouling properties. Here we report two types of cellulose fibers from coconut (Cocos nucifera) and sisal (Agave sisalana), which were purified with a chemical method, characterized, and tested in vitro and in vivo. According to SEM images, the cellulose fiber from coconut has a porous surface, and sisal has a uniform structure without internal spaces. It was found that the cellulose fiber from sisal has mechanical properties closer to silk fiber biomaterial using Ultimate Tensile Strength. When evaluating the cellulose fibers biodegradability, the cellulose from coconut showed a rapid weight loss compared to sisal. The antifouling test was negative, which demonstrated that neither possesses intrinsic microbicidal activity. Yet, a weak biofilm was formed on sisal cellulose fibers suggesting it possesses antifouling properties compared to cellulose from coconut. In vivo experiments using healthy mice demonstrated that the scarring and mechanical connection was like silk for both cellulose fibers. Overall, our results showed the potential use of cellulose fibers from vegetal for surgical sutures due to excellent mechanical properties, rapid degradation, and no bacterial adhesion.

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Section: Discussionmentioning

confidence: 99%

Natural Cellulose Fibers for Surgical Suture Applications

et al. 2020

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“…Polyglycolic acid (PGA) sutures have excellent strength and reduced tissue reactions [15]. Grazivoda et al stated that in the case of PGA sutures the inflammatory response was diminished when compared to other types of sutures [16]. Polyglycolic acid was the first synthetic absorbable suture that had a higher tensile strength [15].…”

Section: Resultsmentioning

confidence: 99%

The Biomechanical Properties of Suture Materials and Their Relationship to Bacterial Adherence

Maftei¹,

Mârţu²,

Popa³

et al. 2019

Mat.Plast.

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Sutures are classified into non-absorbable and absorbable, and mechanical properties of these materials vary by the composition. In this study we analyze four different types of sutures used commonly in surgery: silk, nylon, polyglycolic acid (PGA) and polytetrafluoroethylene (PTFE). The materials were chosen to represent a wide range of suture material categories: absorbable and nonresorbable, monofilament and multifilament, natural and synthetic in order to assess their mechanical properties but also the bacterial adherence to each type. The objective of this study was to measure the total bacterial adherence by using real time PCR at 7 days postop and to analyze the antibacterial and mechanical properties comparatively depending on the type and composition of sutures. Tensile properties such as maximum tensile load, elongation rate, stiffness and energy absorbed before breakage were taken into consideration. Experimental determination pointed out that the average total bacterial load was lowest for PTFE and highest for silk. The results of the study are useful in choosing an appropriate suture wire according to the mechanical properties taking into account the bacterial load of the surgical site in order to aid in tissue repair.

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“…Gazivado et al compared wound healing and the incidence of complications such as wound infection and local reactions with the use of different types of absorbable sutures (catgut, Dexon, and Vicryl). The results suggested that none of the suture materials hindered wound healing, and there was a low incidence of wound complications with all of the used suture materials that did not reach statistical significance [ 19 ]. Other reports advocate the use of catgut as an absorbable suture as it is absorbable, has good tensile strength, is more comfortable for the patients as it spares them the pain of suture removal, leads to excellent wound healing, and has comparable rates of complications to other absorbable and non-absorbable suture materials [ 14 , 15 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Catgut Versus Polypropylene Sutures for Transcolumellar Incision Closure in Open Rhinoplasty: A Retrospective Cohort Study

Aldhabaan

Hudise

ALqarny

et al. 2020

Cureus

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Background Open rhinoplasty, including the transcolumellar approach, is commonly performed as it has fewer side effects and provides superior anatomical control to the surgeons compared to closed rhinoplasty. However, the postoperative scar outcomes, such as scar appearance, vary depending on the type of suture used in wound closure, and the optimal suture type is not firmly established. Objective To compare the impact of catgut versus polypropylene sutures on the postoperative transcolumellar scar outcomes and patient satisfaction following open rhinoplasty. Methods This retrospective cohort study, including 100 patients who underwent transcolumellar open rhinoplasty, was conducted at otolaryngology department of King Abdulaziz University Hospital, Riyadh, KSA. The patients were divided into two groups: the propylene suture group (group 1), which included 15 males and 35 females with a mean age of 31.5 years and underwent surgery using propylene sutures, and the catgut suture group (group 2), which included 10 males and 40 females with a mean age of 30.5 years and underwent surgery using catgut sutures. The postoperative transcolumellar scar outcomes, as determined by visual analogue scale (VAS) and Stony Brook Scar Evaluation Scale (SBSES) scores, and patient satisfaction, as assessed using a self-assessment scale, were compared between groups.

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A clinical study on the influence of suturing material on oral wound healing

Abstract: The results of our clinical study point out that Vycril- rapid contributes more than catgut or Dexon to faster healing of human wounds, with fewer incidences of wound dehiscence and milder local reactions.

Cited by 25 publications

References 11 publications

Natural Cellulose Fibers for Surgical Suture Applications

Natural Cellulose Fibers for Surgical Suture Applications

The Biomechanical Properties of Suture Materials and Their Relationship to Bacterial Adherence

Catgut Versus Polypropylene Sutures for Transcolumellar Incision Closure in Open Rhinoplasty: A Retrospective Cohort Study

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