- See:
Closure of Wounds and Drains
- Dexon & Vicryl;
- polyglycolic acid (Dexon) and polyglactin 910 (Vicryl) are absorbable
made by polymerization of amino acid glycolic acid, which is
extruded and stretched to form fibers that are then braided;
- dexon loses all tensile strength in 30 days and is absorbed by 90 days,
followed by Vicryl, whose tensile strength is gone by 32 days
and is absorbed by 70 days;
- dexon and vicryl undergo enzymatic degradation by hydrolysis, with
little accompanying tissue reaction;
- Subcuticular:
- polypropylene and stainless steel are excellent materials for a
subcuticular suture because of its smooth surface;
- other suture materials (nylon) tend to bind to surrounding tissues when
attempts removal;
- Chromic / Plain Gut:
- useful in closing wounds in children or even adults (when they live far away);
- by the time the dressings come off, the sutures are gone (if plain gut is used);
Microanastomotic response to needle and suture size.
Comparison of suture ligation, bipolar cauterization, and hemoclip
ligation in the management of small branching vessels in a rat model.
A comparison of absorbable and nonabsorbable sutures to vascular
response in immature arteries.
Strength retention of chromic gut and synthetic absorbable sutures in a
nonhealing synovial wound.
