Who Are Absorbable Sutures Used For
Who are absorbable sutures used for is a question only can be answered by a doctor. Depending on the wound and the patiences condition, suture types and technique can vary.
Surgical Sutures
The discovery of surgical non absorbable sutures first dates back to 3000 BC in ancient Egyptian literature. Before sutures, plant materials such as hemp or cotton or animal materials such as tendons, silk and arteries were used for centuries.
First suture material was catgut, a thin thread woven from sheep gut that was used in these centuries. In the 1800s, it was suggested that catgut should be sterilized before using it to suture wounds. In the 1860s, doctor Joseph Lister developed a technique for sterilizing catgut, and it was finally perfected in 1906.
These synthetic materials, which are still used today, have been classified as “absorbable” or “non-absorbable” depending on their ability to absorb during the wound healing process. So thats why who are absorbable sutures used for is a question can only be answered by a professional.
Suture Types
Absorbable sutures usually dissolve in 10 days to eight weeks and are made of:
- Silk
- Catgut
- Polyglycolic acid
- Polylactic acid
- Monocryl
Non-absorbable sutures do not dissolve naturally and are usually removed after the wound is closed. They are made of:
- nylon
- Polyester
- Stainless steel
- PVDF
- Polypropylene
In the newest technology, laser bonding technique was introduced. This new technique; helps the process go faster and also makes the scars less visible. After all these years of suture, the doctors can still find new ways to answer who are absorbable sutures used for.
What Are Surgery Threads Made From?
Sutures can be made of a variety of materials varying on the basis of absorbable or non-absorbable (also defined as soluble).
If the suture is absorbable suture types, they are usually made of polygactin or catgut. Catgut sutures are natural (filaments made from collagen in the intestines of animals, usually sheep or goats), while Polygactin sutures are synthetic.
On the other hand, sutures for non-absorbable sutures can be made of steel, silk, nylon, polyester, or polypropylene. All these materials usually need to be eliminated from the body after healing. Failure to do so may result in granuloma or infection due to foreign body. Because the risk is too high, you should never answer the who are absorbable sutures used for question by yourself.
Why Each Type of Suture is Used
As for why each type of suture is used, it depends on a number of factors To give you a simpler explanation, absorbable sutures are best used for deeper tissues and membranes
Nonabsorbable sutures are often used for skin closure (and subsequent removal) or deep repairs to tendons or vessels. In the case of a deep repair with a non-absorbable suture, it is not removed as it is used for a repair rather than a temporary step in the healing process.
- Meltıng Surgıcal Threads (Solvable Surgıcal Threads)
There is no need to remove absorbable sutures or dissolving sutures. They are made of special materials that can stay in the body for a long time. For weeks or months, your body will dissolve the stitches long after the incision is closed. Only ad doctor whould know who are absorbable sutures used for.
Surgery Sewıng Thread Numbers And Theır Used Locatıons
Who are absorbable sutures used for sizes from the smallest to the largest; ( 10-0 / 9-0 / 8-0 / 7-0 / 6-0 / 5-0 / 4-0 / 3-0 / 2-0 / 1-0 / 0 / 1 / 2 / 3 / 4 / 5 )
- (10-0, 9-0, 8-0): Typically used in the most delicate surgeries. It is widely used both in eye surgery and to repair small damaged nerves due to tears in the hand
- (7-0 , 6-0): Used to repair small vessels and arteries or for delicate facial plastic surgery.
- (5-0, 4-0): It is used in large vessel surgeries such as the aorta.
- (3-0 , 2-0 , 1-0) : It is used for skin closure, closure of muscle layers or intestinal repair when there is too much tension on the tissue in general surgery.
Monofilament (single bundle-fiber) sutures are resistant to infection. Their memories are very strong. They create less reaction, they are slippery, they are easy to pass through the tissue. They are the most suitable sutures in contaminated traumatic wounds. However, their knot security is weak. They are hard, difficult to use. They lose 50% of their tensile strength when held with a tool. These kind of suture exists in the absorbable sutures list.
Multifilament (multi-bundle-fiber) sutures are soft and easy to use. They are wear resistant. They have high tensile strength, flexibility, elasticity and knot security. However, due to their high capillarity, they absorb liquid. They create an environment open to infection. They pass through the tissue and cause high tissue damage. They cause a reaction.
Capillarity and Natural Fibers
Capillarity is the transport of fluid and bacteria along the suture line between sutures in multifilament sutures. Capillarity is present in all multifilament sutures. These can be reduced by coating, but not completely destroyed. There is no capillarity in monofilament absorbable suture types.
Natural fiber fusible stitches have many disadvantages. First of all, these natural fibrous fusible stitches have a tendency to wear out when knotting. Second, there is much variation in maintaining tensile strengths compared to synthetic fusible stitches. who are absorbable sutures used for can be answered by a doctor becuse there are so many variations.