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Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study

Yıl 2018, , 25 - 30, 03.03.2018
https://doi.org/10.18663/tjcl.395200

Öz

Aim:  Elastane  fiber  is  a  synthetic  monofilament 
polymer  which  is  durable  and  highly  flexible. 
In  this  preliminary 
study  we  compared 
Elastane  fiber  with  polypropylene  and  polyglycaprone  25,  surching  the  inflammatory  reaction 
in  the  rat  soft  tissue, 
considering  that  it  could  be  used  for  sternal  closure 
because  of  its  properties. 

Material  and  Methods: 
Elastane  fiber,  polypropylene  and  polyglycaprone25  sutures 
were  placed  in  3  separate 
areas  at  2  cm  intervals 
in  the  subcutaneous 
tissue  of  each  8  male  wistar  albino 
rats  without  any  incision,  using  the  seldinger 
method.  After  two  weeks,  the  rats  were  sacrified  and  tissue  specimens, 
including  the  suture 
fragments,  were  resected. 
H
istopathological 
scoring  in  terms  of  inflammation, 
vascularization,  fibrosis  and  histiocytic  reaction 
were  achieved  semiquantitatively. 

Results:  There  was  no  statistically  significant 
difference  between  three  suture  materials 
in  terms  of  inflammation  (p=0.513),  vascularization  (p=0.065),  fibrosis 
(p=0.108)  and  histiocytic  reaction 
(p=0.630). 







Conclusion:  As  a  conclusion 
elastane  fiber  showed  similar 
inflammatory  changes  with  other  suture 
materials  in  the  rat  soft  tissue  which  is  thought 
to  be  useful 
for  sternal  closure 
due  to  its  high  flexibilityand  durability.  

Kaynakça

  • 1. Danter MR, Saari A, Gao, M, Cheung A, Lichtenstein SV, Abel JG. A New Device for Securing Sternal Wires After Median Sternotomy: Biomechanical Study and Retrospective Clinical Assessment. Innovations (Phila) 2018.
  • 2. Schmid C, Akhter SA. Postoperative Sternal Complications. In Cardiac Surgery Springer, Berlin, Heidelberg 2017; 1129-35.
  • 3. Schimmer C, Sommer SP, Bensch M, Bohrer T, Aleksic I, Leyh R. Sternal closure techniques and postoperative sternal wound complications in elderly patients. Eur J Cardiothorac Surg 2008; 34: 132-8.
  • 4. Casha AR, Camilleri L, Manché A, Gauci M, Magri CJ, Agius A, Yang L. Effect of sternal wire twisting on sternotomy closure rigidity. Indian J Thorac Cardiovasc Surg 2018; 34: 25-30.
  • 5. Abbas S, Gul S, Abbas A, Iqbal M, Khan T, Khan JS. Figure-of-8 sternal closure vs simple interrupted sternal closure in reducing sternal dehiscence in patients with coronary artery bypass grafting (CABG). Pakistan Heart J 2017; 50.
  • 6. Park JS, Kuo JH, Young JN, Wong MS. Rigid sternal fixation versus modified wire technique for poststernotomy closures: a retrospective cost analysis. Ann Plast Surg 2017; 78: 537-42.
  • 7. Motomatsu Y, Imasaka KI, Tayama E, Tomita Y. Midterm results of sternal band closure in open heart surgery and risk analysis of sternal band removal. Artif Organs. 2016; 40: 153-8.
  • 8. Allen KB, Thourani VH, Naka Y, Grubb KJ, Grehan J, Patel N, Cohen DJ. Rigid Plate Fixation vs Wire Cerclage: Patient Reported and Economic Outcomes from a Randomized Trial. Ann Tthorac Surg 2018.
  • 9. Hashim S, Chin LY, Krishnasamy S, Sthaneswar P, Mokhtar RAR. Effect of sternal closure with biological bone adhesive on pain visual analogue score and serum cytokine. J Cardiothor Surg. 2015; 10: 32.
  • 10. Wilson RM, Ghareeb PA, McClellan WT, Boustany AN. Biomechanical analysis of the FlatWire Figure 8 sternal fixation device. Plast Surg. 2014; 22: 188-90.
  • 11. Celik F, Kaya MA. “Scientific criterias for surgical suture and needle selection” in Turkish. Ulusal Cerr Derg. 2006; 22: 153-57.
  • 12. Dunn DL. Wound closure manual. Somerwille, NJ: Ethicon inc. ; 2007; 97-102.
  • 13. Birolini C, De Miranda JS, Utiyama EM, Rasslan S. A retrospective review and observations over a 16-year clinical experience on the surgical treatment of chronic mesh infection. What about replacing a synthetic mesh on the infected surgical field?. Hernia 2015; 19: 239-46.
  • 14. Wagner M, Reul G, Teresi J, Kayser KL. Experimental observations on a new and inherently elastic material for sutures and vascular prostheses: Lycra. Am J Surg 1966; 111: 838-41.
  • 15. Boretos JW, Pierce WS. Segmented polyurethane: A polyether polymer. An initial evalution for biomedical applications. J Biomed Mater Res 1968; 2: 121-30.
  • 16. Losanoff JE, Jones JW, Richman BW. Primary closure of median sternotomy: Techniques and principles. Cardiovasc Surg 2002; 10: 102-10.
  • 17. Santos TdeS, Abuna RP, Almedia AL, Beloti MM, Rosa AL. Effect of collagen sponge and fibrin glue on bone repair. J Appl Oral Sci 2015; 23: 623-28.
  • 18. Alhalawani AM, Towler MR. A review of sternal closure techniques. J Biomater Appl 2013; 28: 483-97.
  • 19. Levin LS, MillerAS, Gajjar AH, Bremer KD, Spann J, Milano CA et al. An innovative approach for sternal closure. Ann Thorac Surg 2010; 89: 1995-99.
  • 20. Orhan SN, Ozyazicioglu MH, Colak A. A biomechanical study of 4 different sternum closure techniques under different deformation modes. Interact Cardiovasc Thorac Surg 2017; 25: 750-756.
  • 21. Shirazi M, Noorafshan A, Serhan A. Effects of different suture materials used for the repair of hypospadias: A stereological study in a rat model. Urol Int 2012; 89: 395-401.
  • 22. Yaltirik M, Dedeoglu K, Bilgic B, Koray M, Ersev H, Issever H, et al. Comparison of four different suture materials in soft tissues of rats. Oral Dis 2003; 9: 284-86.
  • 23. Carvalho AC, de Souza AP, de Souza CA, Pereira CC, Okamoto R, Magro FO. Comparative study of the healing process when using Vicryl®, Vicryl Rapid, Vicryl Plus®, and Monocryl® sutures in the rat dermal tissue. Oral Maxillofac Surg 2013; 17: 293-98.
  • 24. Willsallen H, Heller J, Kark L, Hilbert BJ. In vitro mechanical testing of braided polyurethane elastic fiber and braided polyester for equine laryngoplasty. Vet Surg 2015; 44: 223-30.

Elastan Lif ile Polipropilen ve Poliglekapron 25'in Cerrahi Sütür Malzemesi Olarak Karşılaştırılması: Deneysel Ön Çalışma

Yıl 2018, , 25 - 30, 03.03.2018
https://doi.org/10.18663/tjcl.395200

Öz

Amaç:  Elastan 
lif,  dayanıklı  ve  esnek  sentetik 
bir  monofilament  polimerdir. 
Bu  ön  çalışmada 
sternum  kapatılması  için  uygun  nitelikte 
olduğunu  düşündüğümüz  elastan 
lif  ile  polipropilen 
ve  poliglekapron  25'i  rat  yumuşak 
dokusunda  oluşturdukları  inflamatuvar 
cevaplar  açısından  karşılaştırdık.

Gereç  ve  Yöntemler:  Elastan 
lif,  polipropilen  ve  poliglekapron  25  dikişler  8  adet  erkek  wistar  albino 
ratın  subkutan  dokusuna 
2  cm  aralıklarla 
3  ayrı  alana  herhangi  bir  kesi  yapılmadan 
seldinger  yöntemi  ile    yerleştirildi.  İki  hafta  sonra  ratlar  sakrifiye 
edilerek  sütür  parçalarını 
içerecek  şekilde  doku  örnekleri  alındı.
  Enflamasyon, 
vaskülarizasyon,  fibrozis  ve  histiyositik  reaksiyon 
açısından  yarı  kantitatif 
histopatolojik  skorlama  yapıldı.

Bulgular: 
Her  üç  sütür  materyali  arasında 
inflamasyon  (p  =  0.513),  vaskülarizasyon  (p  =  0.065), 
fibrozis  (p  =  0.108)  ve  histiyositik  reaksiyon 
(p  =  0.630) 
açısından  istatistiksel  olarak 
anlamlı  fark  yoktu.







Sonuç: 
Yüksek  esneklik  ve  dayanıklılığından  dolayı 
sternum  kapatılması  için  faydalı  olacağını 
düşündüğümüz  elastan  lif,  rat  yumuşak 
dokusunda  diğer  dikiş  materyalleri  ile  benzer  inflamatuvar 
değişiklikler  gösterdi.

Kaynakça

  • 1. Danter MR, Saari A, Gao, M, Cheung A, Lichtenstein SV, Abel JG. A New Device for Securing Sternal Wires After Median Sternotomy: Biomechanical Study and Retrospective Clinical Assessment. Innovations (Phila) 2018.
  • 2. Schmid C, Akhter SA. Postoperative Sternal Complications. In Cardiac Surgery Springer, Berlin, Heidelberg 2017; 1129-35.
  • 3. Schimmer C, Sommer SP, Bensch M, Bohrer T, Aleksic I, Leyh R. Sternal closure techniques and postoperative sternal wound complications in elderly patients. Eur J Cardiothorac Surg 2008; 34: 132-8.
  • 4. Casha AR, Camilleri L, Manché A, Gauci M, Magri CJ, Agius A, Yang L. Effect of sternal wire twisting on sternotomy closure rigidity. Indian J Thorac Cardiovasc Surg 2018; 34: 25-30.
  • 5. Abbas S, Gul S, Abbas A, Iqbal M, Khan T, Khan JS. Figure-of-8 sternal closure vs simple interrupted sternal closure in reducing sternal dehiscence in patients with coronary artery bypass grafting (CABG). Pakistan Heart J 2017; 50.
  • 6. Park JS, Kuo JH, Young JN, Wong MS. Rigid sternal fixation versus modified wire technique for poststernotomy closures: a retrospective cost analysis. Ann Plast Surg 2017; 78: 537-42.
  • 7. Motomatsu Y, Imasaka KI, Tayama E, Tomita Y. Midterm results of sternal band closure in open heart surgery and risk analysis of sternal band removal. Artif Organs. 2016; 40: 153-8.
  • 8. Allen KB, Thourani VH, Naka Y, Grubb KJ, Grehan J, Patel N, Cohen DJ. Rigid Plate Fixation vs Wire Cerclage: Patient Reported and Economic Outcomes from a Randomized Trial. Ann Tthorac Surg 2018.
  • 9. Hashim S, Chin LY, Krishnasamy S, Sthaneswar P, Mokhtar RAR. Effect of sternal closure with biological bone adhesive on pain visual analogue score and serum cytokine. J Cardiothor Surg. 2015; 10: 32.
  • 10. Wilson RM, Ghareeb PA, McClellan WT, Boustany AN. Biomechanical analysis of the FlatWire Figure 8 sternal fixation device. Plast Surg. 2014; 22: 188-90.
  • 11. Celik F, Kaya MA. “Scientific criterias for surgical suture and needle selection” in Turkish. Ulusal Cerr Derg. 2006; 22: 153-57.
  • 12. Dunn DL. Wound closure manual. Somerwille, NJ: Ethicon inc. ; 2007; 97-102.
  • 13. Birolini C, De Miranda JS, Utiyama EM, Rasslan S. A retrospective review and observations over a 16-year clinical experience on the surgical treatment of chronic mesh infection. What about replacing a synthetic mesh on the infected surgical field?. Hernia 2015; 19: 239-46.
  • 14. Wagner M, Reul G, Teresi J, Kayser KL. Experimental observations on a new and inherently elastic material for sutures and vascular prostheses: Lycra. Am J Surg 1966; 111: 838-41.
  • 15. Boretos JW, Pierce WS. Segmented polyurethane: A polyether polymer. An initial evalution for biomedical applications. J Biomed Mater Res 1968; 2: 121-30.
  • 16. Losanoff JE, Jones JW, Richman BW. Primary closure of median sternotomy: Techniques and principles. Cardiovasc Surg 2002; 10: 102-10.
  • 17. Santos TdeS, Abuna RP, Almedia AL, Beloti MM, Rosa AL. Effect of collagen sponge and fibrin glue on bone repair. J Appl Oral Sci 2015; 23: 623-28.
  • 18. Alhalawani AM, Towler MR. A review of sternal closure techniques. J Biomater Appl 2013; 28: 483-97.
  • 19. Levin LS, MillerAS, Gajjar AH, Bremer KD, Spann J, Milano CA et al. An innovative approach for sternal closure. Ann Thorac Surg 2010; 89: 1995-99.
  • 20. Orhan SN, Ozyazicioglu MH, Colak A. A biomechanical study of 4 different sternum closure techniques under different deformation modes. Interact Cardiovasc Thorac Surg 2017; 25: 750-756.
  • 21. Shirazi M, Noorafshan A, Serhan A. Effects of different suture materials used for the repair of hypospadias: A stereological study in a rat model. Urol Int 2012; 89: 395-401.
  • 22. Yaltirik M, Dedeoglu K, Bilgic B, Koray M, Ersev H, Issever H, et al. Comparison of four different suture materials in soft tissues of rats. Oral Dis 2003; 9: 284-86.
  • 23. Carvalho AC, de Souza AP, de Souza CA, Pereira CC, Okamoto R, Magro FO. Comparative study of the healing process when using Vicryl®, Vicryl Rapid, Vicryl Plus®, and Monocryl® sutures in the rat dermal tissue. Oral Maxillofac Surg 2013; 17: 293-98.
  • 24. Willsallen H, Heller J, Kark L, Hilbert BJ. In vitro mechanical testing of braided polyurethane elastic fiber and braided polyester for equine laryngoplasty. Vet Surg 2015; 44: 223-30.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Makale
Yazarlar

Mehmet Kabalcı

Nesimi Günal

Yasemin Dere Günal Bu kişi benim

Ali Bolat

Mahi Balcı

Berkant Özpolat

Koray Dural

Serap Yörübulut

Erdinç Eroğlu

Yayımlanma Tarihi 3 Mart 2018
Yayımlandığı Sayı Yıl 2018

Kaynak Göster

APA Kabalcı, M., Günal, N., Günal, Y. D., Bolat, A., vd. (2018). Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study. Turkish Journal of Clinics and Laboratory, 9(1), 25-30. https://doi.org/10.18663/tjcl.395200
AMA Kabalcı M, Günal N, Günal YD, Bolat A, Balcı M, Özpolat B, Dural K, Yörübulut S, Eroğlu E. Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study. TJCL. Mart 2018;9(1):25-30. doi:10.18663/tjcl.395200
Chicago Kabalcı, Mehmet, Nesimi Günal, Yasemin Dere Günal, Ali Bolat, Mahi Balcı, Berkant Özpolat, Koray Dural, Serap Yörübulut, ve Erdinç Eroğlu. “Comparison of Elastane Fiber With Polyprolene and Polyglecaprone 25 Used As Surgical Suture Material: An Experimental Preliminary Study”. Turkish Journal of Clinics and Laboratory 9, sy. 1 (Mart 2018): 25-30. https://doi.org/10.18663/tjcl.395200.
EndNote Kabalcı M, Günal N, Günal YD, Bolat A, Balcı M, Özpolat B, Dural K, Yörübulut S, Eroğlu E (01 Mart 2018) Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study. Turkish Journal of Clinics and Laboratory 9 1 25–30.
IEEE M. Kabalcı, N. Günal, Y. D. Günal, A. Bolat, M. Balcı, B. Özpolat, K. Dural, S. Yörübulut, ve E. Eroğlu, “Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study”, TJCL, c. 9, sy. 1, ss. 25–30, 2018, doi: 10.18663/tjcl.395200.
ISNAD Kabalcı, Mehmet vd. “Comparison of Elastane Fiber With Polyprolene and Polyglecaprone 25 Used As Surgical Suture Material: An Experimental Preliminary Study”. Turkish Journal of Clinics and Laboratory 9/1 (Mart 2018), 25-30. https://doi.org/10.18663/tjcl.395200.
JAMA Kabalcı M, Günal N, Günal YD, Bolat A, Balcı M, Özpolat B, Dural K, Yörübulut S, Eroğlu E. Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study. TJCL. 2018;9:25–30.
MLA Kabalcı, Mehmet vd. “Comparison of Elastane Fiber With Polyprolene and Polyglecaprone 25 Used As Surgical Suture Material: An Experimental Preliminary Study”. Turkish Journal of Clinics and Laboratory, c. 9, sy. 1, 2018, ss. 25-30, doi:10.18663/tjcl.395200.
Vancouver Kabalcı M, Günal N, Günal YD, Bolat A, Balcı M, Özpolat B, Dural K, Yörübulut S, Eroğlu E. Comparison of Elastane Fiber with Polyprolene and Polyglecaprone 25 used as Surgical Suture Material: an experimental preliminary study. TJCL. 2018;9(1):25-30.


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