Abstract
Sutures are known to facilitate wound healing and recently, a significant attention has been laid on the development of different classes of materials, their properties to enhance tissue approximation and wound closure. The advancements in the suture technology have introduced different types of sutures such as barbed sutures, antimicrobial sutures, drug-eluting sutures. The biostable and bioresorbable materials have received importance in augmentation and proper growth of the tissues due to their extraordinary characteristics. Furthermore, the biodegradable polymeric sutures have been explored for suture applications due to their efficiency, both in terms of property and application. In this regard, the current chapter highlights the various biodegradable polymers as possible candidates for sutures along with their essential properties and applications. Moreover, the utilization of different biofillers for fabricating sutures along with various fabrication techniques is discussed. Additionally, an impact is laid on the development of ‘stimuli-responsive sutures’ in order to tailor the behavior of the suture for subjected applications by using external agents or stimulus. These materials respond to small changes that can be both physical and chemical environment. Electric field, magnetic field, radiation are some of the stimulants that can be used based on the polymer used and nature of the application (cell adhesion, nerve regeneration, drug delivery, degradation control, antimicrobial, etc.) of suture. Magnetic responsive composite materials possess fine tuning properties which find their potential in biomedical, cell guidance and controlled drug release study (hyperthermia effect). A good understanding in terms of application and physical phenomena is portrayed which would help in developing the stimuli-responsive materials and devices in the biomedical field.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hayashi T (1994) Biodegradable polymers for biomedical uses. Prog Polym Sci 19(4):663–702. https://doi.org/10.1016/0079-6700(94)90030-2
Törmälä P, Pohjonen T, Rokkanen P (1998) Bioabsorbable polymers: materials technology and surgical applications. Proc Inst Mech Eng H 212(2):101–111. https://doi.org/10.1243/0954411981533872
Pillai CKS, Sharma CP (2010) Absorbable polymeric surgical sutures: chemistry, production, properties, biodegradability, and performance. J Biomater Appl 25(4):291–366. https://doi.org/10.1177/0885328210384890
Chu CC, Von Fraunhofer JA, Greisler HP (1996) Wound closure biomaterials and devices. CRC Press, Boca Raton
Moy RL, Waldman B, Hein DW (1992) A review of sutures and suturing techniques. J Dermatol Surg Oncol 18(9):785–795. https://doi.org/10.1111/j.1524-4725.1992.tb03036.x
Dennis C, Sethu S, Nayak S, Mohan L, Morsi Y, Manivasagam G (2016) Suture materials—current and emerging trends. J Biomed Mater Res A 104(6):1544–1559. https://doi.org/10.1002/jbm.a.35683
Roberts ADG, Hart DM (1983) Polyglycolic acid and catgut sutures, with and without oral proteolytic enzymes, in the healing of episiotomies. BJOG 90(7):650–653. https://doi.org/10.1111/j.1471-0528.1983.tb09284.x
Singhal JP, Singh H, Ray AR (1988) Absorbable suture materials: preparation and properties. Polym Rev 28(3–4):475–502. https://doi.org/10.1080/15583728808085383
Li J, Yuan XY (2006) Research progresses on synthetic absorbable sutures. J Tianjin Polytech Univ 25:18–21
Hon LQ, Ganeshan A, Thomas SM, Warakaulle D, Jagdish J, Uberoi R (2009) Vascular closure devices: a comparative overview. Curr Probl Diagn Radiol Title(s) 38(1): 33–43. https://doi.org/10.1067/j.cpradiol.2008.02.002
Eling B, Gogolewski S, Pennings AJ (1982). Biodegradable materials of poly(l-lactic acid): 1. Melt-spun and solution-spun fibres. Polymer 23(11):1587–1593. https://doi.org/10.1016/0032-3861(82)90176-8
Dunn DL (2005) Wound closer manual. Ethicon, Inc., Johnson and Johnson Company
Stibal W, Schwarz R, Kemp U, Bender K, Weger F, Stein M (2000) Fibers 3. General production technology, Ullmann’s encyclopedia of industrial chemistry
Eling B, Gogolewski S, Pennings AJ (1982) Biodegradable materials of poly (l-lactic acid): 1. Melt-spun and solution-spun fibres. Polymer 23(11):1587–1593. https://doi.org/10.1016/0032-3861(82),90176-8
Charuchinda A, Molloy R, Siripitayananon J, Molloy N, Sriyai M (2003) Factors influencing the small-scale melt spinning of poly (ε-caprolactone) monofilament fibres. Polym Int 52(7):1175–1181. https://doi.org/10.1002/pi.1234
Ziabicki A (1976) Fundamentals of fibre formation. Wiley-Interscience, New York
Gupta B, Revagade N, Hilborn J (2007) Poly (lactic acid) fiber: an overview. ProgPolymSci 32(4):455–482. https://doi.org/10.1016/j.progpolymsci.2007.01.005
Gogolewski S, Pennings AJ (1985) High-modulus fibres of nylon-6 prepared by a dry-spinning method. Polymer 26(9):1394–1400. https://doi.org/10.1016/0032-386(85)90317-9
Leenslag JW, Pennings AJ (1987) High-strength poly (l-lactide) fibres by a dry-spinning/hot-drawing process. Polymer 28(10):1695–1702. https://doi.org/10.1016/0032-3861(87),90012-7
Greiner A, Wendorff JH (2007) Electrospinning: a fascinating method for the preparation of ultrathin fibers. Angew Chemi Int Ed 46(30):5670–5703. https://doi.org/10.1002/anie.200604646
Um IC, Ki CS, Kweon H, Lee KG, Ihm DW, Park YH (2004) Wet spinning of silk polymer: II. Effect of drawing on the structural characteristics and properties of filament. Int J Biol Macromol 34(1–2): 107–119. https://doi.org/10.1016/j.ijbiomac.2004.03.011
Hu X, Liu S, Zhou G, Huang Y, Xie Z, Jing X (2014) Electrospinning of polymeric nanofibers for drug delivery applications. J Control Release 185:12–21. https://doi.org/10.1016/j.jconrel.2014.04.018
Matthews JA, Wnek GE, Simpson DG, Bowlin GL (2002) Electrospinning of collagen nanofibers. Biomacromol 3(2):232–238. https://doi.org/10.1021/bm015533u
Mohanty AK, Misra M, Hinrichsen GI (2000) Biofibres, biodegradable polymers and biocomposites: an overview. Macromol Mater Eng 276(1):1–24. https://doi.org/10.1002/(SICI)1439-2054(20000301)276:1%3C1:A
Kyrikou I, Briassoulis D (2007) Biodegradation of agricultural plastic films: a critical review. J Polym Environ 15(2):125–150. https://doi.org/10.1007/s10924-007-0063-6
Amass W, Amass A, Tighe B (1998) A review of biodegradable polymers: uses, current developments in the synthesis and characterization of biodegradable polyesters, blends of biodegradable polymers and recent advances in biodegradation studies. Polym Int 47(2):89–144. https://doi.org/10.1002/(SICI)1097-0126(1998100)47:2%3C89:AID-PI86%3E3.0.CO;2-F
Charnley J (1960) Anchorage of the femoral head prosthesis to the shaft of the femur. J Bone Joint Surg. British 42(1):28–30
Kalia S, Dufresne A, Cherian B M, Kaith BS, Avérous L, Njuguna J, Nassiopoulos E (2011) Cellulose-based bio-and nanocomposites: a review. Int J Polym Sci 1–35. https://doi.org/10.1155/2011/837875
Benicewicz BC, Hopper PK (1991) Polymers for absorbable surgical sutures—Part II. J Bioact Compat Polym 6:64–94. https://doi.org/10.1177/088391159100600106
Chen FM, Liu X (2016) Advancing biomaterials of human origin for tissue engineering. Prog Polym Sci 53:86–168. https://doi.org/10.1016/j.progpolymsci.2015.02.004
Bennett RG (1988) Selection of wound closure materials. J Am Acad Dermatol 18(4):619–637. https://doi.org/10.1016/S0190-9622(88),70083-3
B Kim, Atala A (2001) Encyclopedia of materials: science and technology
Song R, Murphy M, Li C, Ting K, Soo C, Zheng Z (2018) Current development of biodegradable polymeric materials for biomedical applications. Drug Des Dev Ther 12:3117–3145. https://doi.org/10.2147/DDDT.S165440
Palmer LC, Newcomb CJ, Kaltz SR, Spoerke ED, Stupp SI (2008) Biomimetic systems for hydroxyapatite mineralization inspired by bone and enamel. Chem Rev 108(11):4754–4783. https://doi.org/10.1021/cr8004422
Siddiqui H, Pickering K, Mucalo M (2018) A review on the use of hydroxyapatite-carbonaceous structure composites in bone replacement materials for strengthening purposes. Materials 11(10):1813. https://doi.org/10.3390/ma11101813
Verheyen CCPM, De Wijn JR, Van Blitterswijk CA, De Groot K (1992) Evaluation of hydroxylapatite/poly(l-lactide) composites: mechanical behavior. J Biomed Mater Res 26(10):1277–1296. https://doi.org/10.1002/jbm.820261003
Saifuddin N, Raziah AZ, Junizah AR (2012) Carbon nanotubes: a review on structure and their interaction with proteins. J Chem 2013:1–18. https://doi.org/10.1155/2013/676815
Cheng Q, Rutledge K, Jabbarzadeh E (2013) Carbon nanotube–poly (lactide-co-glycolide) composite scaffolds for bone tissue engineering applications. Ann Biomed Eng 41(5):904–916. https://doi.org/10.1007/s10439-012-0728-8
Pan L, Pei X, He R, Wan Q, Wang J (2012) Multiwall carbon nanotubes/polycaprolactone composites for bone tissue engineering application. Colloids Surf B 93:226–234. https://doi.org/10.1016/j.colsurfb.2012.01.011
Kashiwazaki H, Kishiya Y, Matsuda A, Yamaguchi K, Iizuka T, Tanaka J, Inoue N (2009) Fabrication of porous chitosan/hydroxyapatite nanocomposites: their mechanical and biological properties. Biomed Mater Eng 19(2–3):133–140. https://doi.org/10.3233/BME-2009-0572
Gupta A, Katiyar V (2017) Cellulose functionalized high molecular weight stereocomplex polylactic acid biocomposite films with improved gas barrier, thermomechanical properties. ACS Sustain Chem Eng 5(8):6835–6844. https://doi.org/10.1021/acssuschemeng.7b01059
Patwa R, Kumar A, Katiyar V (2018) Crystallization kinetics, morphology, and hydrolytic degradation of novel bio-based poly (lactic acid)/crystalline silk nano-discs nanobiocomposites. J Appl Polym Sci 135(33):46590. https://doi.org/10.1002/app.46590
De Simone S, Gallo AL, Paladini F, Sannino A, Pollini M (2014) Development of silver nano-coatings on silk sutures as a novel approach against surgical infections. J Mater Sci Mater Med 25(9):2205–2214. https://doi.org/10.1007/s10856-014-5262-9
Galaev IY, Mattiasson B (1999) ‘Smart’ polymers and what they could do in biotechnology and medicine. Trends Biotechnol 17(8):335–340. https://doi.org/10.1016/S0167-7799(99),01345-1
De las Heras AlarcĂ³n C, Pennadam S, Alexander C (2005) Stimuli responsive polymers for biomedical applications. Chem Soc Rev 34(3):276–285. https://doi.org/10.1039/b406727d
De Santis R, Russo A, Gloria A, D’Amora U, Russo T, Panseri S, Wilde CJ (2015) Towards the design of 3D fiber-deposited poly (-caprolactone)/iron-doped hydroxyapatite nanocomposite magnetic scaffolds for bone regeneration. J Biomed Nanotechnol 11(7):1236–1246. https://doi.org/10.1166/jbn.2015.2065
Chertok B, Moffat BA, David AE, Yu F, Bergemann C, Ross BD, Yang VC (2008) Iron oxide nanoparticles as a drug delivery vehicle for MRI monitored magnetic targeting of brain tumors. Biomaterials 29(4):487–496. https://doi.org/10.1016/j.biomaterials.2007.08.050
Fuchigami T, Kawamura R, Kitamoto Y, Nakagawa M, Namiki Y (2012) A magnetically guided anti-cancer drug delivery system using porous FePt capsules. Biomaterials 33(5):1682–1687. https://doi.org/10.1016/j.biomaterials.2011.11.016
Jeong SI, Jun ID, Choi MJ, Nho YC, Lee YM, Shin H (2008) Development of electroactive and elastic nanofibers that contain polyaniline and poly(l-lactide-co-ε-caprolactone) for the control of cell adhesion. Macromol Biosci 8(7):627–637. https://doi.org/10.1002/mabi.200800005
Guo Y, Li M, Mylonakis A, Han J, MacDiarmid AG, Chen X, Wei Y (2007) Electroactive oligoaniline-containing self-assembled monolayers for tissue engineering applications. Biomacromol 8(10):3025–3034. https://doi.org/10.1021/bm070266z
Huang L, Zhuang X, Hu J, Lang L, Zhang P, Wang Y, Jing X (2008) Synthesis of biodegradable and electroactive multiblock polylactide and aniline pentamer copolymer for tissue engineering applications. Biomacromol 9(3):850–858. https://doi.org/10.1021/bm7011828
Hu J, Huang L, Zhuang X, Zhang P, Lang L, Chen X, Jing X (2008) Electroactive aniline pentamer cross-linking chitosan for stimulation growth of electrically sensitive cells. Biomacromol 9(10):2637–2644. https://doi.org/10.1021/bm800705t
Rivers TJ, Hudson TW, Schmidt CE (2002) Synthesis of a novel, biodegradable electrically conducting polymer for biomedical applications. Adv Funct Mater 12(1):33–37. https://doi.org/10.1002/1616-3028(20020101)12:1%3C33:AID-ADFM33%3E3.0.CO;2-E
Hirokawa Y, Tanaka T (1984) Volume phase transition in a non-ionic gel. AIP Conf Proc 107(1):203–208. https://doi.org/10.1063/1.34300
Peng B, Grishkewich N, Yao Z, Han X, Liu H, Tam KC (2012) Self-assembly behavior of thermoresponsive oligo (ethylene glycol) methacrylates random copolymer. Acs Macro Lett 1(5):632–635. https://doi.org/10.1021/mz300135x
Marsano E, Bianchi E, Vicini S, Compagnino L, Sionkowska A, Skopińska J, Wiśniewski M (2005) Stimuli responsive gels based on interpenetrating network of chitosan and poly (vinylpyrrolidone). Polymer 46(5):1595–1600. https://doi.org/10.1016/j.polymer.2004.12.017
Dai S, Ravi P, Tam KC (2008) pH-responsive polymers: synthesis, properties and applications. Soft Matter 4(3):435–449. https://doi.org/10.1039/B714741D
Yan T, Chen X, Zhang T, Yu J, Jiang X, Hu W, Jiao F (2018) A magnetic pH-induced textile fabric with switchable wettability for intelligent oil/water separation. Chem Eng J 347:52–63. https://doi.org/10.1016/j.cej.2018.04.021
Hua D, Jiang J, Kuang L, Jiang J, Zheng W, Liang H (2011) Smart chitosan-based stimuli-responsive nanocarriers for the controlled delivery of hydrophobic pharmaceuticals. Macromolecules 44(6):1298–1302. https://doi.org/10.1021/ma102568p
Zhang L, Guo R, Yang M, Jiang X, Liu B (2007) Thermo and pH dual-responsive nanoparticles for anti-cancer drug delivery. Adv Mater 19(19):2988–2992. https://doi.org/10.1002/adma.200601817
Roy D, Cambre JN, Sumerlin BS (2010) Future perspectives and recent advances in stimuli-responsive materials. Prog Polym Sci 35(1–2):278–301. https://doi.org/10.1016/j.progpolymsci.2009.10.008
Toledano S, Williams RJ, Jayawarna V, Ulijn RV (2006) Enzyme-triggered self-assembly of peptide hydrogels via reversed hydrolysis. J Am Chem Soc 128(4):1070–1071. https://doi.org/10.1021/ja056549l
Kim SS, Park MS, Jeon O, Choi CY, Kim BS (2006) Poly (lactide-co-glycolide)/hydroxyapatite composite scaffolds for bone tissue engineering. Biomaterials 27(8):1399–1409. https://doi.org/10.1016/j.biomaterials.2005.08.016
Okada T, Hayashi T, Ikada Y (1992) Degradation of collagen suture in vitro and in vivo. Biomaterials 13(7):448–454. https://doi.org/10.1016/0142-9612(92)90165-K
Im JN, Kim JK, Kim HK, In CH, Lee KY, Park WH (2007) In vitro and in vivo degradation behaviors of synthetic absorbable bicomponent monofilament suture prepared with poly (p-dioxanone) and its copolymer. Polym Degrad Stab 92(4):667–674. https://doi.org/10.1016/j.polymdegradstab.2006.12.011
Mäkelä P, Pohjonen T, Törmälä P, Waris T, Ashammakhi N (2002) Strength retention properties of self-reinforced poly l-lactide (SR-PLLA) sutures compared with polyglyconate (Maxon®) and polydioxanone (PDS) sutures. An in vitro study. Biomaterials 23(12):2587–2592. https://doi.org/10.1016/S0142-9612(01),00396-9
Lee DH, Kwon TY, Kim KH, Kwon ST, Cho DH, Jang SH, Son JS, Lee KB (2014) Anti-inflammatory drug releasing absorbable surgical sutures using poly (lactic-co-glycolic acid) particle carriers. Polym Bull 71(8):1933–1946. https://doi.org/10.1007/s00289-014-1164-8
Cannizzo SA, Roe SC, Harms CA, Stoskopf MK (2016) Effect of water temperature on the hydrolysis of two absorbable sutures used in fish surgery. Facets 1(1):44–54. https://doi.org/10.1139/facets-2016-0006
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Das, D., Mulchandani, N., Kumar, A., Katiyar, V. (2020). Fabrication of Stimuli-Responsive Polymers and their Composites: Candidates for Resorbable Sutures. In: Katiyar, V., Kumar, A., Mulchandani, N. (eds) Advances in Sustainable Polymers. Materials Horizons: From Nature to Nanomaterials. Springer, Singapore. https://doi.org/10.1007/978-981-15-1251-3_6
Download citation
DOI: https://doi.org/10.1007/978-981-15-1251-3_6
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-15-1250-6
Online ISBN: 978-981-15-1251-3
eBook Packages: Chemistry and Materials ScienceChemistry and Material Science (R0)