Damacryl Absorbable Suture
Damacryl absorbable suture is a suture type that is very useful in different scenerios. Absorbable sutures are used in many ways and you must always ask for your doctor on what suture is going to be used.
What Are the Types of Surgical Sutures
Plain Catgut: It is a natural suture that has found wide use all over the world. Collagen constitutes 97-98% of its structure. After 7 days, it loses 60% of its resistance. Different than Damacryl absorbable suture this suture;
- In the repair of rapidly healing tissues that require minimal support,
- In ligation of superficial blood vessels,
- It is used for suturing subcutaneous fat tissue.
Chromic Catgut: Treating catgut with chromic acid increases its tensile strength and slows its absorption. Chrome catgut is a harder, stronger, more resistant material to tissue degradation than plain catgut. Manipulation and binding of both plain and chrome catgut are difficult. It causes a high rate of tissue reaction to impair wound healing in frequently used sutures. This is a form of absorbable suture.
Polygluconate (Maxon)
Made from Polytrimethylene carbonate. It has a monofilament structure. Tensile strength after 14 days is 75%. Complete absorption occurs in 180-210 days. Tissue reaction is minimal. This material has similar tensile strength and absorption profile as PDS. It is easier to manipulate than Damacryl absorbable suture or PDS (60% less rigidity).
- Polyglycolic acid (dexon):
It was produced in 1971 as a synthetic homopolymer of glycolic acid. This suture; It is biologically and physically superior to catgut and is an important advance in the development of absorbable suture material. Its destruction is completed in 50-70 days. Within 15 days, more than 80% of Dexon’s original strength is lost.
Within 28 days, this material retains only 5% of its original tensile strength, completely dissolving within 90-120 days. Some advantages of using this material; Its tensile strength is high, tissue reaction is low, and it is absorbed within a predetermined time. Dexon Plus in 3rd generation polyglycolic acid suture. Its surface is covered with polaxamer 188. This substance facilitates the manipulation of the suture by allowing the surface to slide. This is a different form of absorbable sutures.
Polyglactin 910 (Vicryl)
It is called Polyglactin 910 because it has a 90/10 glycolic acid/lactic acid ratio. It is multifilament. The water repellent property of lactic acid reduces the tension power loss and causes rapid absorption of the suture. It is one of the absorbable suture types and destroyed by hydrolysis. It is completely absorbed in 56-70 days, but loses its tensile strength in 28-35 days.
If it stays on the skin for more than 7 days, it causes irritation. It retains 60% of its tensile strength on the 14th day after suturing. Different than Damacryl absorbable suture Vicryl is generally used for approximation of soft tissue and ligation of vessels.
Using Damacryl
- During the use of Damacryl absorbable suture and other surgical thread materials, care should be taken not to damage the thread.
- As with any suture material, flat and square knots and additional knots in accordance with accepted surgical techniques may be required for adequate knot security, depending on surgical conditions and surgeon experience.
- Skin sutures that need to stay longer than 7 days can cause local irritation and should be cut with scissors or removed according to indications.
- Absorbable suture types should be used in tissues with poor blood supply, as there may be a delay in absorption or protrusion of the surgical suture.
- In order not to damage the needle tips and connection points, it is necessary to keep the needle at a distance of 1/3 to ½ from the connection point.
- In some conditions, especially in orthopedic procedures, external support can be applied for joint fixation at the discretion of the surgeon.
- Used needles must be disposed of as special medical waste. Do not use Damacryl absorbable suturethat have expired.
WARNINGS
Since the risk of wound dehiscence will vary according to the applied area and suture material. If users want to apply Damacryl absorbable suture for wound closure, they should have a good knowledge of surgical procedures and techniques.
- In vivo performance should be considered when choosing sutures. This suture may not be suitable for use in elderly, weak patients or patients with delayed wound healing problems.
- Like any foreign body, the surgical thread can cause kidney/gallstone formation when in contact with saline solutions in the urinary and biliary system for a long time.
- Since Damacryl absorbable suture is an absorbable suture material, it may temporarily behave like a foreign body.
- The surgeon may additionally use non-absorbable sutures when there is enlargement, stretching, or swelling at the closure site, or when additional support is required. Do not re-sterilize.
- Sutures are disposable.
- Discard any opened bags.
Please ask your doctor questions like absorbable sutures how long to dissolve. You and your wound will be much safer if you follow the medical protocol.