Canis ISSN: 2398-2942

Suture materials

Contributor(s): Otto Lanz, David Neck

Introduction

Definition of suture

  • Material used to ligate vessels or approximate tissues.

Historical perspective

  • Celsus - first recorded use of vessel ligation for hemostasis.
  • Galen (200 AD) - used silk suture material.
  • Physick (1800's) - produced absorbable sutures from the skin of goats.
  • Lister (1869) - introduction of suture sterilization and treatment of catgut with chromic acid.
  • 1940's - appearance of synthetic sutures.


Characteristics of ideal suture material:

  • Maintains adequate tensile strength until wound healing well established.
  • Absorbed predictably.
  • Bioinert (minimally reactive, non toxic, non allergenic, non carcinogenic).
  • Sterilized without alteration in physical properties.
  • Preferably monofilament (non capillary).
  • Economical.

Suture classification

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Suture Characteristics

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Suture size

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Suture selection

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Suture needles

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Bellah J R (1994) Surgical stapling of the spleen, pancreas, liver, and urogenital tract. Vet Clin N Am Small An Prac 24 (2), 375-394 PubMed.
  • Kirpensteijn J, Fingland R B, Boyer J E Jr. et al (1993) Comparison of stainless steel fascial staples and polypropylene suture material for closure of the linea alba in dogs. Vet Surg 22, 464-472 PubMed.
  • Hampel N L, Johnson R G & Pijanowski G J (1991) Effects of isobutyl-2-cyanoacrylate on skin healing. Compend Contin Educ Pract Vet 13 (1), 80-83 VetMedResource.
  • Pavletic M M (1990) Surgical stapling devices in small animal surgery. Compend Contin Educ Pract Vet 12 (12), 1724-1741 VetMedResource.
  • Court M H & Bellenger C R (1989) Comparison of adhesive polyurethane membrane and polypropylene sutures for closure of skin incisions in cats. Vet Surg 18 (3), 211-215 PubMed.
  • Smeak D D & Wendelburg K L (1989) Choosing suture materials for use in contaminated or infected wounds. Compend Contin Educ Pract Vet 11 (4), 467-476 VetMedResource.

Other sources of information

  • Lawrence D L, Salmeri K R & Bloomberg M S (1990) Suture materials. In: VEM 5402 Introduction and Small Animal Soft Tissue Surgery of Domestic Animals. U of FL Coll Vet Med Spring.
  • Bojrab M J (1988) Suture Use Manual. Copyright, Pitman-Moore Inc. pp 1-23.
  • Boothe H W (1985) Suture materials and tissue adhesives. In: Textbook of Small Animal Surgery. Ed D H Slatter. W B Saunders Co, Philadelphia. pp 334-344.
  • Suture materials. In: Fundamental techniques in Veterinary Surgery. Eds C D Knecht et al. W B Saunders Co, Philadelphia. pp 28-50.


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