TENSILE AND KNOT PERFORMANCE OF POLYESTER, SILK, POLYPROPYLENE AND POLYDIOXANONE SUTURES

Yıl 2016, Cilt: 23 Sayı: 103, 172 - 181, 29.10.2016

Nazan Avcıoglu Kalebek Eylem Erol Konur Oznur Ozdınc

Öz

Suture is a generic term for all materials used to bring served body tissues together and to hold these tissues in their normal position until healing takes place. The success of a suture is generally linked to its mechanical performance such as tensile and knot strength. Extensive research has been done on sutures, the majority of which focuses on tissue response to sutures, mechanical properties, knot properties, wound infection and degree of absorption. In this study, it is aimed to investigate the mechanical performance (tensile and knot strength) of materials such as polyester (PES), silk, polypropylene (PP) and polydioxanone (PDO). The obtained results showed that the mechanical performances of sutures are affected by sutures materials, sutures size and knot type. The developed model (tenacity  95 (cN/tex) and elongation 85 (%)) expresses with rather high accuracy the relation between independent variables and dependent variable and that experimental work results were acceptable as accurate.

Anahtar Kelimeler

Monofilament suture, braided suture, granny knot, knot strength, tensile performance

POLYESTER, İPEK, POLİPROPİLEN VE POLİDİAKSANON AMELİYAT İPLİKLERİNİN MUKAVEMET VE DÜĞÜM PERFORMANSI

Öz

Ameliyat iplikleri, vücut dokularını iyileşme sağlayana kadar dokuları bir arada tutmak için kullanılan genel bir terimdir. Bir ameliyat ipliğinin başarısı genel olarak çekme ve düğüm mukavemet performansı ile değerlendirilebilir. Ameliyat iplikleri ile yapılan çalışmaların çoğu düğüm özellikleri, yara enfeksiyonu ve dokunun ameliyat ipliğine vermiş olduğu tepki üzerine yapılmıştır. Bu çalışmada, polyester (PES), ipek, polipropilen (PP) ve polidiaksanon (PDO) ameliyat ipliklerinin mekanik performansının (çekme ve düğüm mukavemeti) araştırılması amaçlanmıştır. Elde edilen sonuçlar gösteriyor ki ameliyat ipliğinin cinsi, boyutu ve düğüm şekli mekanik performans değerlerini etkilemiştir. Model (Mukavemet 95 (cN/tex) ve Uzama 95 (%) bağımlı değişkenler ile bağımsız değişkenler arasındaki ilişkiyi yüksek doğrulukla açıklayabilmekte ve deneysel çalışma verilerini hatasız olarak kabul etmektedirler

Anahtar Kelimeler

Monofilament ameliyat ipliği, örgülü ameliyat ipliği, granny düğüm, düğüm mukavemeti, mekanik performansı

Kaynakça

• Srinvasulu, K. and Kumar, D., (2014), “A Review on Properties of Surgical Sutures and Applications in Medical Fields”, International Journal of Research in Engineering and Technology, Vol:2 (2), p.85-96.
• S.B. Abdesselam, H.Jedda, S.Skhiri, J.Dahmen and H. Boughamoura, (2006), “Improvement of Mechanical Performance of Braided Polyester Sutures”, Autex Research Journal, Vol:6, No:3, pp.169-174.
• Gemci, R. and Ersoy, M.S., (2010), “Investigation of The Knot Strength of Suture Waited in Different Solutions”, Electronic Journal of Textile Technologies, Vol:4 (1), pp.25-34.
• Gemci, R. and Ulcay, Y., (2004), “Types and Properties of Suture Materials and Strength Differences Between Normal and Chromium Catgut”, Uludag University, Journal of Engineering and Architecture Faculty, Vol:9 (2), pp.95-105.
• Chu, C.C., (1980), “Mechanical Properties of Suture Materials”, Anneal Surgery, Vol:193 (3), pp.365-371.
• Manavalan, R.A. and Mukhopadhyay, A., (2009), “Surgical Sutures: Performance, Development and Use”, Journal of Biomimetics, Biomaterials and Tissue Engineering, Vol:1, pp.1-36.
• Karaca, E. and Hockenberger, A.S., (2004), “Effect of Suture Structure on Knot Performance of Polyamide Sutures”, Indian Journal of Fibres&Textile Research, Vol: 29, pp.271-277.
• D.M. Marturello, M.S. McFadden, R.A.Bennett, G.R. Ragetly and G.Horn, (2014), “Knot Security and Tensile Strength of Suture Materials”, Veterinary Surgery, Vol:43, pp.73-79.
• A.G. Abdessalem, S.B., Debbabi, F., Jedda,H., Elamrzougui, S. and Mokhtar, S., (2009), “Tensile And Knot Performance of Polyester Braided Sutures”, Textile Research Journal, Vol:79 (3), pp.247- 252, 2009.
• Heward, R.M. Laing, D.J. Carr and B.E.Niven, (2004), “Tensile Performance of Nonsterile Suture Monofilaments Affected by Test Conditions”, Textile Research Journal, Vol:74, No:1, pp.83-90.
• USP 881; Tensile Strength of Surgical Suture on a Motor Driven Tensile Strength Testing Machine Using Constant Rate of Extension (CRE) Tester
• Farlex Partner Medical Dictionary [Internet], (2012), Available from http://www.barnesandnoble.com/w/dictionary-farlex-inc/ 1112166663#productInfoTabs (accessed 2015.09.18)
• Karaca, E., Hockenberger, A.S. and Yıldız, H., (2005), “Investigation Changes in Mechanical Properties and Tissue Reaction of Silk, Polyester, Polyamide, and Polypropylene Sutures in Vivo”, Textile Research Journal, Vol:75 (4), pp.297-303.