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PubMed · 4026661

Skin wound approximation with new absorbable suture material.

R C Webster·E G McCollough·P R Giandello·R C Smith
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Abstract

A new rapid strength loss catgut suture material can be used for skin closures in wounds of the face and body. Seventy-six comparisons were made under controlled conditions between the new material and one formerly recommended. The new material was used in 588 other wounds as well. It is concluded that the new material is superior to the other in several important ways.

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CatgutDermatologic Surgical ProceduresFaceHumansPostoperative ComplicationsSurgery, PlasticSuturesTensile StrengthWound HealingComparative StudyJournal Article

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BibTeXRIS

R C Webster, E G McCollough, P R Giandello, R C Smith. 1985. Skin wound approximation with new absorbable suture material.. https://doi.org/10.1001/archotol.1985.00800100065008

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OBJECTIVE: This study was undertaken to evaluate the integrity of the loop-to-strand knot when tied with square and nonidentical sliding knots. STUDY DESIGN: The synthetic absorbable monofilament suture poliglecaprone 25 in 0 and 2-0 suture gauges was used in this experiment. For each suture gauge, 3 groups of knots were tested: (1) single strand-to-single strand, flat square knot, (2) loop-to-single strand, flat square knot, and (3) loop-to-single strand, nonidentical sliding knot. All knots were tied with 6 throws. The proportion of knots becoming untied was compared among the 3 groups for each suture gauge. Ultimate load required to untie or break knots within each group was also evaluated. RESULTS: The loop-to-strand knot performed well in both suture gauges tested as long as it was tied with a flat square knot. The loop-to-strand knot tied with a nonidentical sliding knot had an unacceptably high failure rate. CONCLUSION: The loop-to-strand termination of a continuous suture may be acceptable when tied with a 6-throw flat square knot but not acceptable if tied with sliding knots.

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PubMed2004

Randomized comparison of chromic versus fast-absorbing polyglactin 910 for postpartum perineal repair.

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