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Individualized Wound Closure—Mechanical Properties of Suture Materials

Wound closure is a key element of any procedure, especially aesthetic and reconstructive plastic surgery. Therefore, over the last decades, several devices have been developed in order to assist surgeons in achieving better results while saving valuable time. In this work, we give a concise review o...

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Autores principales: Polykandriotis, Elias, Daenicke, Jonas, Bolat, Anil, Grüner, Jasmin, Schubert, Dirk W., Horch, Raymund E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316899/
https://www.ncbi.nlm.nih.gov/pubmed/35887538
http://dx.doi.org/10.3390/jpm12071041
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author Polykandriotis, Elias
Daenicke, Jonas
Bolat, Anil
Grüner, Jasmin
Schubert, Dirk W.
Horch, Raymund E.
author_facet Polykandriotis, Elias
Daenicke, Jonas
Bolat, Anil
Grüner, Jasmin
Schubert, Dirk W.
Horch, Raymund E.
author_sort Polykandriotis, Elias
collection PubMed
description Wound closure is a key element of any procedure, especially aesthetic and reconstructive plastic surgery. Therefore, over the last decades, several devices have been developed in order to assist surgeons in achieving better results while saving valuable time. In this work, we give a concise review of the literature and present a biomechanical study of different suturing materials under mechanical load mimicking handling in the operating theatre. Nine different suture products, all of the same USP size (4-0), were subjected to a standardized crushing load by means of a needle holder. All materials were subjected to 0, 1, 3 and 5 crushing load cycles, respectively. The linear tensile strength was measured by means of a universal testing device. Attenuation of tensile strength was evaluated between materials and between crush cycles. In the pooled analysis, the linear tensile strength of the suture materials deteriorated significantly with every cycle (p < 0.0001). The suture materials displayed different initial tensile strengths (in descending order: polyglecaprone, polyglactin, polydioxanone, polyamid, polypropylene). In comparison, materials performed variably in terms of resistance to crush loading. The findings were statistically significant. The reconstructive surgeon has to be flexible and tailor wound closure techniques and materials to the individual patient, procedure and tissue demands; therefore, profound knowledge of the physical properties of the suture strands used is of paramount importance. The crushing load on suture materials during surgery can be detrimental for initial and long-term wound repair strength. As well as the standard wound closure methods (sutures, staples and adhesive strips), there are promising novel devices.
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spelling pubmed-93168992022-07-27 Individualized Wound Closure—Mechanical Properties of Suture Materials Polykandriotis, Elias Daenicke, Jonas Bolat, Anil Grüner, Jasmin Schubert, Dirk W. Horch, Raymund E. J Pers Med Article Wound closure is a key element of any procedure, especially aesthetic and reconstructive plastic surgery. Therefore, over the last decades, several devices have been developed in order to assist surgeons in achieving better results while saving valuable time. In this work, we give a concise review of the literature and present a biomechanical study of different suturing materials under mechanical load mimicking handling in the operating theatre. Nine different suture products, all of the same USP size (4-0), were subjected to a standardized crushing load by means of a needle holder. All materials were subjected to 0, 1, 3 and 5 crushing load cycles, respectively. The linear tensile strength was measured by means of a universal testing device. Attenuation of tensile strength was evaluated between materials and between crush cycles. In the pooled analysis, the linear tensile strength of the suture materials deteriorated significantly with every cycle (p < 0.0001). The suture materials displayed different initial tensile strengths (in descending order: polyglecaprone, polyglactin, polydioxanone, polyamid, polypropylene). In comparison, materials performed variably in terms of resistance to crush loading. The findings were statistically significant. The reconstructive surgeon has to be flexible and tailor wound closure techniques and materials to the individual patient, procedure and tissue demands; therefore, profound knowledge of the physical properties of the suture strands used is of paramount importance. The crushing load on suture materials during surgery can be detrimental for initial and long-term wound repair strength. As well as the standard wound closure methods (sutures, staples and adhesive strips), there are promising novel devices. MDPI 2022-06-25 /pmc/articles/PMC9316899/ /pubmed/35887538 http://dx.doi.org/10.3390/jpm12071041 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Polykandriotis, Elias
Daenicke, Jonas
Bolat, Anil
Grüner, Jasmin
Schubert, Dirk W.
Horch, Raymund E.
Individualized Wound Closure—Mechanical Properties of Suture Materials
title Individualized Wound Closure—Mechanical Properties of Suture Materials
title_full Individualized Wound Closure—Mechanical Properties of Suture Materials
title_fullStr Individualized Wound Closure—Mechanical Properties of Suture Materials
title_full_unstemmed Individualized Wound Closure—Mechanical Properties of Suture Materials
title_short Individualized Wound Closure—Mechanical Properties of Suture Materials
title_sort individualized wound closure—mechanical properties of suture materials
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316899/
https://www.ncbi.nlm.nih.gov/pubmed/35887538
http://dx.doi.org/10.3390/jpm12071041
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