Advertisement

Sutures and Infection: Studies of Conventional Materials and New Synthetic Absorbables

  • H. A. F. Dudley
  • C. R. Kapadia

Abstract

All surgeons have their own opinions about suture materials, which are based principally on what they have found works best, what they have learnt from their teachers and, not least, what they have been told by the manufacturers. In the past with the ‘natural’ materials, both absorbable and non-absorbable, which were the only ones available, this non-scientific state of affairs was unavoidable, but with the introduction of synthetics over which the polymer chemist and the manufacturer have some control it is reasonable to begin a more scientific evaluation of materials, looking for a blend of qualities which should produce optimum materials for any given surgical purpose. The surgeon is entitled to know how sutures behave, both in artificial circumstances (such as straight pull tensile strength) and in the body, particularly when the material may be exposed to ‘worst case’ situations such as sepsis.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gorbach SL, Bartlett JG (1974) Anaerobic infections: Old myths and new realities. J Infect Dis 130:307–309PubMedCrossRefGoogle Scholar
  2. 2.
    Kelly MJ (1980) Wound infection: A controlled clinical trial and experimental demonstration of synergy between aerobic (Escherichia coli) and anaerobic (Bacteroides fragilis) bacteria. Ann R Coll Surg Engl 62:52–59PubMedGoogle Scholar
  3. 3.
    McGeehan D, Hunt D, Chaudhuri A (1980) An experimental study of the relationship between synergistic wound sepsis and suture materials. Br J Surg 67:636–638PubMedCrossRefGoogle Scholar
  4. 4.
    Kapadia CR, Mann JB, Biglin J (to be published) Behaviour of synthetic absorbable sutures with and without synergistic enteric infectionGoogle Scholar
  5. 5.
    Florey ME, Turton EC, Duthie ES (1946) Penicillin in wound exudates. Lancet 1:403–409Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • H. A. F. Dudley
  • C. R. Kapadia
    • 1
  1. 1.Academic Surgical UnitSt. Mary’s HospitalGB-LondonEngland

Personalised recommendations