Who Should Use Absorbable Sutures
Who should use absorbable sutures has an answer that can change depending on the wound or the usage of the suture. Absorbable sutures are surgical sutures that are absorbed by the body by hydrolysis or enzymatic means and are naturally removed from the body over time.
Absorbable Sutures
Absorbable sutures are surgical sutures that are frequently preferred today, which are absorbed by the body by hydrolysis or enzymatically over time and disappear on their own. Thanks to the absorbable suture, the stitches are not removed again. Thanks to these properties, absorbable sutures do not leave any body residue on the body.
They retain approximately 65% of their tension on the 14th postoperative day. They are used for subcutaneous soft tissue suturing. It has a polyglactin structure and a multifilament structure and maintains its tension for 14-21 days. Those in the structure of polydioxanone are monofilament and although the knot security is not very good, their tension continues for a very long time (about 60-90 days). It is preferred for taut wound closures where suture tension is desired to be maintained for a long time.
Due to the development of absorbable sutures and the increase in the opportunities they provide, catgut of biological origin is rarely used today. Catguts have been replaced by synthetic polymer suture materials that cause less tissue reaction, last longer, have higher knot reliability and ease of use. Although the use of catguts has decreased, it continues to be used in some surgical operations. So it can depend on the material and wound when you are asking who should use absorbable sutures.
Absorbable Sutures Usage Areas
Absorbable suture is very useful due to its properties. This situation causes the absorbable suture to have a wide usage area. Today, it is possible to find many absorbable suture types. They can also be found as multifilament and monofilament.
Multifilament is obtained by weaving more than one yarn fiber tissue in a braided manner. Monofilament sutures, on the other hand, are sutures consisting of a single string. When it comes to who should use absorbable sutures, the main usage areas of absorbable sutures are as follows;
- Gynecology
- general surgery
- ophthalmic surgery
- Urology
- orthopedics
- Tissue closures in pediatric surgery
- leather closures
- Gastrointestinal surgery
- ligatures
- Oral and maxillofacial surgery
- Veterinary medicine
- Plastic surgery
Absorbable sutures list, depending on the product which provide tissue support for a certain period of time after healing, are removed with body fluid. These surgical threads, which are produced in different tissues, including multifilament and monofilament, are very easy to use.
What are Monofilament Surgical Surgical Sutures and What Are Their Usage Areas
Absorbable threads are often used to close the deepest parts of the wound. Absorbable surgical sutures can also be used on the skin surface, depending on the patient and wound condition. Katsan non absorbable sutures portfolio includes PGA, PGA Rapid, PGLA, PGLA Rapid, PGCL, PDO sutures. According to their properties, they are classified as monofilament absorbable sutures and multifilament absorbable sutures. When you are asking who should use absorbable sutures, you have to consider the suture type.
Any suture used to ligate (connect) blood vessels or join tissues together, is called suture, and is named after the Latin. Surgical sutures are classified into two main groups as non-absorbable and absorbable sutures, as well as monofilament and multifilament.
What are the Usage Areas of Monofilament Sutures
Monofilament sutures are generally preferred for cosmic wounds as well as being used in contaminated wounds, which are open wounds, and traumatic wounds, also known as irregular, serrated, indented, protruding wounds, crushing instrument wounds or wounds due to blunt trauma.
Monofilament sutures consist of a single thread (string), they are not braided like multifilament sutures. Since it is not braided, there are no spaces for bacteria to settle in, so the risk of microbial colonization on the tissue is very low. Natural or synthetic monofilament sutures; It is in the structure of polypropylene, PDO, stainless steel wire and natural silk. So depending on the wound, the person who should use absorbable sutures can benefit from monofilament sutures.
What are the Disadvantages of Monofilament Sutures
Monofilament sutures have a simple structure because they are made of a single layer of absorbable suture material, so they have less resistance. To elaborate further; Their knot security is weak and they lose a great deal of tensile strength when held with the tool. Half-lives and durability may differ when comparing absorbable and non-absorbable types.
What is the Chemical Structure of Non-absorbable Monofilament Sutures
As we mentioned above, in non-absorbable monofilament sutures; Polypropylene, PDO, stainless steel wire and natural silk structures are available. Materials used in their chemical structures; Synthetic linear polyolefin consisting of stereoisomer of isotactic crystal of polypropylene, polyvinylidene difluoride polymer, Nylon 6 or Nylon 6,6 or 100% Polytetrafluoroethylene is used.
Organic polymer called fibroin is used in natural types. A stainless steel wire variation is preferred for abdominal wound closure, orthopedic procedures such as hernia or tendon repairs. So when answering the who should use absorbable sutures question, the doctor must consider the wound and the patience.