Ankara Üniversitesi Tıp Fakültesi Mecmuası

0365-8104 1307-5608

Ankara University

General Surgery

Genel Cerrahi

Current Status of Suture Materials Used in Surgery

Cerrahide Kullanılan Dikiş Materielinin Bugünkü Durumu

Bumin

Orhan

ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE

09 30 1975

28 3-4 813 830 06 01 1975 09 30 1975

1947

Ankara Üniversitesi Tıp Fakültesi Mecmuası

İn this paper, after enumerating spesifications needed for the suture material in ligating vessels and closing surgical | Wounds, the advantages and disadvantage of contemporary reşorbabie; catgut, collağen, polygiycolic &cid, polyglaction 910 and nonresorbable; linnen, silk, cotton, nylon, polyester, polypropylen, stainless stesi' wire suture material were reviewed.After this, different recent investigations on Şuture mateTrial and practical results derived from these were summmarized

Bu yazıda, cerrahi yaraları dikmek ve damarları bağlamak çin kullandığımız dikiş materyelinde bulunması lâzım gelen özellikler sıralandıktan şonra, bugün kullanmakta olduğumuzdikiş materiyelinden rezorbe olanlardan, katgüt, kollegen dikiş, polyglycolic acid, ve polyglactin 910; rezorbe olmıyanlardan, keten, ipek, pamuk ipliği, nylon, polyester, poiypropyler ve paslanmaz çelik tellerin yarar ve sakıncaları gözden geçirildi, . Bundan sonra, muhtelif yazarların dikiş materiyeli hakkında, son zamanlarda, yapmış olduğu araştırmalar ve bunlardan çıkarılacak pratik sonuçlar özetlendi.

Wound healing Suture materials Synthetic adhesives Microvascular surgery

Yara iyileşmesi Dikiş materyalleri Sentetik yapıştırıcıla Mikrovasküler cerrahi

I — ADAMSOAS, R.J, KAHAN, Ş, A. : The Rate of Healing of İncised Wounds of Different Tissues in Rabbits. Surg. Gync. and Obst, 130: 837, İgT0 ,

2 — ADLER, R.E, MÜÖNTES, M. : A Comparison of Reconstifuted Collagen Sulures ahd Catgut Suture for Colon Anastomosiş, Surg. Gync , Obst. 124: 1245, 1967,

3-ALEXANDER, J. W. KAPLAN, J.Z. ALTMEİR, WA, 5 Role. of Suture Materiale in the Devolopment of Wound İnfection. Ann, Surg, 165; 192. 1967.

4-BERGMAN. F.O, BORGSTROM, S.J.H.: Synthetic (o Absorbable Surgical Sulure Material Act. Chir, Scand, 137: 193, 1971.

5-BRITT, C.I MİLLER, EB. M. : Comperative Reaction ol Mersilene and Silk Sutures İmplanted within Heart. Ann, Surg. 153: 52,.1061. i

6-BUMİN, O. AYANOĞLU, N. : Çerrahide Sütür Materyeli ve Adi Me, kara. İpliğinin Üstünlükleri. Dirim, 29: 55, 1854,

7-CARPENDALE, M.T. F, SERADA, W. : The Role öf Percutaneous Sutures in Surgical Wound İnfection, Surgery, 50: 8742, 1985,

8-CONN, J. Jr, OYASU, R, WELSH, ML, BEAL, İ. M.: Vioryi (Polyglacline 910) Synthetic Absorhbable Suturaş, Am, J, Surg. 128: 18, 1974,

9-DETRİE, Ph ; Nouveau Traito de Technigue Chirurgicala, Tom: 9. S. 205, Masson et Cie, Paris, 1957.

10-DE YİTO, R. V. ; Healing of Wounds. Surg. Clin. NN: Am, 45; d4r, İ9E5.

11-FERGUSON, O. J.: Ağvances in the Management of Surgical Wounds. Surg. Clin. N. Am., 51: d9, 1971.

12-“GAGE,İ, M, LYONS, C, : Suture » Materiyis and their Üse, Surg, Gin, ON. Am, 28: 1585, 1949,

13-GÜREL, E. : Rezorbe Olan Senletik Dikiş Materyeli (PGA) ile Damar Anastomozları, A.Ü.Tıp Fakültesi Decmtası, 38: İlle ek, 1973.

14-HARVEY, S.C, HOWES, E L . The Strength ol the Healing Wound in Relation to the Holding Strength oi the Çatgut Suture. N. Eng. JI. Med. 200: 1aB5, 1929,

15-HERMANN, J.R, KEHLY, R. 3. : Polygiycoliç Acid Sutures, oArçh, Surg., 100: 486, 1870. i

16-HOWESŞ, E.L, SOVYY, J. W. : The Healing of Wounds as Determinedby Tensile Strengh, .. A, ML. A. 53: 4, 198p i

17-LEVESON, S, M.. GECVER, E, F. : The Healing of Rat Skin Wounds,. Ann. Surg. 181: 298, 1985, .

18-LİCATENSTEIN, ii. L, HERZİKOFF, S5. ; The Dynamics oi Wound Healing. Surg. Gync, and Onbs. 130; 685, 19790,

19-MADSEN, E.T. ; An Experimental and Clinical Evaluation of Şurgi. cal Suture Material, Surg. Gyn. and Obşi, 97, 73, 1853.

20-MENDOZA, C.B. jr, WATNE, AL, Wire Versus Silk; Choice of Surgical Wound Closure in Pantienis with Cancer, Am. J, SUTE., 112; 839, 1986,

21-NİÇHOJES, H.M, DIACK, A.: An Experimenigi Study of Nylonş A5 a Suture Material, West. |. Surg, dE 432, 1940,

22-POSTLETHWAİT, R. W. : Principles of Operalive Surgery (Lexibgok of Surgery, Davis- Christopher. W. 8. Saunders Ço, Philadelphia, 1972) -8; 307,

23-POSLETHWANLY, RK. W. : Pelygiycolic Acid Suture. Arçh. Surg, İva: dâ9, 1970. ,

24-POSTLETHWAIT, A. W.: hong Term Comperalive Study of 'Non-absorbalile Sutures. Ann. Surg. 101: 489, 1970.

25-PREŞTON, D, |. : The Effects ol Sutures on the Strength of Healing Waounds. Am. J. Surg., 49: 56, 1940.

26-SİLVENNOİNEN, ER. . Concrements Resulating from Sulures Materials in ihe Biliary Tract. Arın. Chir, Gync., 58: 159, Suppl 1970,

27-SOYTHER, G. 5. LEVİTSKY, S. : Bucrylote. Tissue Adhesive for Miurovascular Anastomosis. Arch. Surg., 102, 446, 1971.

28-SEWELL W.R., WİLAND, J.; A New Method of Comparing Sutures of Boövine Catgut in Three Specles, Surg. Gine. and Obst. 100: d83, 1955

29-THOENES, L. A. The Properties of Catgut Sütures Sterilized by Heal, Eihylene Oxide and Electron Beams, .J. İnt. Colt, Surg., 48: 382, 1984.

30-THOREK, P. ; Five Years Experience with Spool Cotton as a Suture Material, Rouline Use in Över 1000 Öpertilons. Am, J. Surg., 7: 852, 1946.

31-USHER, FC, ALLEN, JE. : Polypropylene Monofilemenit A New Biologically İnert Suture for Healing Contaminaded WoOUnds. JAM. A., 179: 780, 1982.

32-VAN WİNKLE, W. Jr, HASTİNGS, GC. 5 Consideration in the Choice of Suture Material for Various Tissues. Surg. Gync. and Obst., 135: 113, 1972,

33- WİANKO, KE. B, BI İNG, > Weound Healing İncisions . and Suturing. Can. Med, Assoc. J., 84. 254, 1981.