Nonabsorbable Suture Material
Nonabsorbable suture material is used in a process to perform medical methods to ensure the integrity of tissues such as skin and veins that have been damaged in any way and to accelerate healing. The suture is usually placed after a surgical operation to ensure the stability of the tissue layers.
About Nonabsorbable Suture
Nonabsorbable suture material is used during the surgical procedure to prevent the disintegrating tissue and to control bleeding conditions that may occur are called sutures. Suture is a material used in surgical operations to close wounds and prevent them from being used. Nonabsorbable suture types are produced without absorption. The ideal nonabsorbable suture material should create uniform tensile strength, hold the wound securely during the healing process, and have minimal dimensions for easier absorption. In addition, it should be predictable, easy to use, produce minimal reaction and be knotted securely.
Absorbable Suture Types
Absorbable suture materials are different from nonabsorbable suture material because they are absorbed by the body either by hydrolysis or enzymatically. It acts as an absorbable suture and is absorbed and disappears over time. After the absorption period is completed, there is no foreign body in the body. Absorbable sutures cause less tissue reaction.One of the main sub-sections of sutures is absorbable sutures. Stitches that lose most of their tensile strength or, in other words, their tensile strength within 60 days, are in this class. Absorbable sutures break down due to tissue enzymes or hydrolysis. Absorbable sutures are generally used in deep sutures and do not need to be removed after surgery. The types of absorbable sutures are as follows:
- Surgical gut
- Vicryl Polysorb (Poliglactin)
- Monocryl (Poliglecaprone)
- PDS II (Polydioxanone)
- Maxon (Politrimethylene)
- Biosyn (Glycomer):
- Caprosyn (Polygytone)
Nonabsorbable Suture Types
Nonabsorbable suture material is used to provide long-term tissue support and are surrounded by inflammatory processes of the body until they are manually removed if necessary. Non absorbable suture can be used in the surgery of slowly functioning tissues such as fascia and tendons. It is also preferred in operations for closure of the abdominal wall or vascular anastomoses.
- Nylon (Ethilon, Dermalon, Nylene, Norulon
- Polybutester (Novafil)
- Polypropylene (Prolene, Surgilene)
- Silk (Dysilk)
- Polyester (Mersylene Suture)
- Monofilament and Multifilament Sutures
- Monofilament suture
Points To Be Considered In Suture
Using nonabsorbable suture material should be done by an professionel it is an emergency and an issue that requires experience. In case of cuts, if there is no problem in the tendons and the injury is not very fragmented, suture is performed by using sterilized suture materials in the autoclave and cleaning the injured area. Dressing should be done at regular intervals after suturing. Suturing is normally the duty of doctors. However, in some cases, nurses also put simple nonabsorbable suture especially in emergency services, due to patient density.
The physician of the relevant unit will be responsible for the complications that may arise as a result of incorrect application of the suture procedure. How to throw the nonabsorbable sutures and which layers to sew are determined by the physician who performed the first examination. The physician may want the patient to be evaluated in terms of orthopedics and traumatology or plastic and aesthetic surgery. Superficial incisions and simple nonabsorbable suture material can be placed by the physician in the emergency room and under sterile conditions.
What Are The Usage Areas Of Nonabsorbable Suture
Nonabsorbable suture material can be used in many non-absorbable uses such as gastrointestinal surgery, gynecology, urology, ophthalmic surgery, orthopedics, pediatric surgery, tissue closure intracutaneous, subcutaneous, abdominal wall closure, plastic surgery, pediatric cardiovascular tissues. All of our special customized nonabsorbable suture material rejuvenators are sterilized with ethylene oxide.
Literacy provides the opportunity to excel, to have fun in an easy and respectable place. It is manufactured in various thick and durable plastics, such as polyester, stainless steel or thin in different shapes. Sutures have a wide range of uses. Nonabsorbable suture material can be used in many areas such as gastrointestinal surgery, gynecology, urology, ophthalmic surgery, orthopedics, pediatric surgery, tissue closure intracutaneous, subcutaneous, abdominal wall closure, plastic surgery, pediatric cardiovascular tissues.
The Points To Be Considered While Choosing Suture
Nonabsorbable suture material is used in surgery to hold the wound together and provide the necessary support during wound healing. In order to select the appropriate suture, the dynamic resistance including cellular, physiological and biochemical events during wound healing and the factors affecting them as well as the structural properties of sutures should be well known. The main factors affecting wound healing are;
- surgical technique,
- blood circulation,
- mechanical stress,
- suture material,
- sewing technique,
- radiotherapy,
- infection
- systemic factors.
The main factors affecting the choice of nonabsorbable suture material;
- type and strength of the tissue to be sutured,
- tissue healing time, properties of suture material,
- is the interaction between suture and tissue.
The main features to be considered when choosing nonabsorbable suture material are;
- Tensile Strenght
- Ease of passage through the tissue
- Knot security,
- Stitch dragging the texture