Zusammenfassung
Verfahren zur Messung der Wund- und Nahtfestigkeit sind wichtige Bestandteile der Wundheilungsforschung. Als Standardtiermodell gilt die Ratte, gefolgt von Kaninchen, Meerschweinchen und Maus.
Es wird ein Verfahren vorgestellt, das ohne bzw. ergänzend zu Tierversuchen Festigkeitsprüfungen ermöglicht. Der Versuchsaufbau umfaßt eine Universalprüfmaschine und Umlenkprüfklemmen nach der Deutschen Industrie Norm 53455. Die hanteiförmigen Zugproben bestehen aus einem feinmaschigen Textilstoff und tragen in der Mitte die zu testenden Nähte. Als Meßbeispiel wird die Bruchfestigkeit von resorbierbaren Subkutannähten vor und nach ihrer Resorbtion im subkutanen Gewebe untersucht. Die Resorbtion des Nahtmaterials wird durch Inkubation der gesamten Probe in einem definierten Degradationsbad bei 50°C und für 96 Stunden simuliert. Die Bruchfestigkeit (N/cm) der Nähte wurde vor und nach der simulierten Resorption im Zugversuch bestimmt. Die Ergebnisse zeigen, daß ohne Tierversuche zuverlässige, für den chirurgischen Alltag relevante Festigkeitsanalysen von Gewebeverbindungen möglich sind.
Summary
Methods to determine the mechanical properties of surgical wounds and sutures are valuable tools in wound healing research. The rat serves as the standard animal model, followed by rabbits, guinea pigs and mice.
As an additional option to experiments with living or sacrified animals, a method without animals is suggested. The experimental design follows German industrial standards (DIN 53455). It includes an universal testing-machine and special clamps. The dumbell-shaped specimen consist of a standardised textile material and the suture, which are to be tested. As an example the breaking strength of resorbable subcutaneous sutures is measured. The resorbtion of the suture material is simulated by the incubation of the specimen in a degrading bath. Breaking-strength is analysed before and after degrading the suture material. The results show the method allows reproducible analysis of surgical sutures without using animals.
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Literatur
Andreassen T.T. and Oxlund H., The influence of experimental diabetes and insulin treatments on the biomechanical properties of skin incisional wounds, Acta Chir. Scand., 153,405–409, 1987
Brown G.L., Curtsinger L.J., White M., Mitchell R.O., Pietsch J., Nordquist R., von Fraunhofer A., Schutz G.S., Acceleration of tensile strength of incisions treated with EGF and TGF-beta, Ann. Surg., 208, 788–794,1988
Caldwell F.T., Rosenberg I.K., Rosenberg B., Mishra O.P., Effect of single amino acid supplementation upon the gain of tensile strength of wounds in protein-depleted rats, Surg. Gynecol. Obstet., 119, 823–830, 1964
Eisinger D.R. and Ross Sheil A.G., A comparison of the effect of cyclosporin A and Standard agents on primary wound healing in the rat, Surg. Gynecol. Obstet., 160,135–138, 1985
Ellis J.D., The rate of healing of electrosurgical wounds as expressed by tensile strength, J.A.M.A., 96, 16–18, 1931
Fast J.,Nelson C., Dennis C., Rate of gain in strength in sutured abdominal wall wounds, Surg. Gynecol. Obstet., 84, 685–688,1946
Filston C. and Vennes G.J., Temperature as a factor in wound healing, Surg. Gynecol. Obstet., 126: 572–584, 1968 13
Fogdestam I., A biomechanical study of healing rat skin incisions after delayed primary closure, Surg. Gynecol. Obstet., 153, 191–199, 1981
Forrester J.C., Zederfeldt B.H., Hunt T.K., The tape closed wound- a bioengineering analysis, J.Surg. Res., 9, 537–542,1969
Geever E.F., Stein J.M., Levenson S.M., Variations in breaking strength in healing wounds in young guinea pigs, J. Trauma, 5, 624–635, 1965
Herzog B., Zur Nahttechnik der Darmanastomosen, Langenbecks Arch. Chir., 344, 1–5, 1977
Howes E.L., Sooy J.W., Harvey S.C., The healing of wounds as determined by their tensile strength, J.A.M.A., 92, 42–45, 1929
Leaming D.B., The influence of age on wound healing, J. Surg. Res., 3, 43–47,1963
Levenson S.M., GeeverE.F.,Crowley L.V., Oates J.F., Berard C.W., Rosen H., The healing of rat skin wounds, Ann. Surg., 161, 293–308, 1965
Marangoni R.D., Glaser A.A., Must J.S., Brody G.S .,Beckwith T.G., Walker G.R ., White W.L., Effect of storage and handling techniques on skin tissue properties, Ann. New York Academy of Sciences, 441–453, 1966
Milch R.A., Tensile strength of surgical wounds, J. Surg. Res., 5, 377–380, 1965
Millay D.J., Cook TA, Brummett R.E., Nelson E.L., O’neili.L., Wound healing and the Shaw scalpel, Arch Otolaryngol Head Neck Surg, 113, 282–285, 1987
Myers M.B., Cherry G., Heimburger S., Hay M., Haydel H., Cooley L., The effect of edema and external pressure on wound healing, Arch. Surg., 94, 218–222, 1967
Normenausschuß Kunststoffe im DIN Deutsches Institut für Normung e.V., Normenausschuß Materialprüfung im DIN, DIN 53455, Prüfung von Kunststoffen- Zugversuch, 1981
Peterson J.M., Barbul A., Breslim R.J., Wasserkrug H.L., Efron G., Signifigance of Tlymphocytes in wound healing, Surgery, 102, 300–305, 1987
Preston D.J., The effects of sutures on the strength of healing wounds, Am. J. Surg., 69, 56–63, 1940
Rovee D.T. and Miller C., Epidermal role in the breaking strength of wounds, Arch. Surg., 96, 43–52, 1968
Struck H. und Pillukat TH., Kollagen-Antikörper und ihr Einfluß auf die Wundheilung, Langenbecks Arch. Chir, 374, 12–19, 1989
Van Winkle W., The tensile strength of wounds and the factors that influence it, Surg. Gynecol. Obstet, 129,819–842, 1969
Vogel H.G. and Petri W., Comparison of various pharmaceutical preparations of prednicarbate after repeated topical administration to the skin of rats, Arzneim.-Forsch. / Drug Res, 35, 939–946, 1985
Wider T.M, Libutti S.K, GreenwaldD.P, Oz M.C, Yager J.S, Treat M.R, Hugo N.E., Skin closure with dye-enhanced laser welding and fibrinogen, Plast. Reconstr. Surg, 88, 1018–1025, 1991
Wolarsky E. and Prudden J.F., A new method of wound tensiometry, Arch. Surg, 85, 66–71, 1962
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Bücheler, M. (2000). Wund- und Nahtfestigkeitsprüfung am Tierersatzmodell. In: Schöffl, H., et al. Forschung ohne Tierversuche 2000. Ersatz- und Ergänzungsmethoden zu Tierversuchen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6760-1_2
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DOI: https://doi.org/10.1007/978-3-7091-6760-1_2
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