Lambade Pravin, Thorat Ashutosh
Department of Oral and Maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Natl J Maxillofac Surg. 2017 Jan-Jun;8(1):19-25. doi: 10.4103/njms.NJMS_42_15.
Adequate closure of the surgical wound is one of the most important aspects of surgery; improper suturing techniques or improper suturing materials sometimes compromise the success of surgery. Many synthetic materials have replaced the natural materials, which were once used for suturing in the ancient era, and Murva is one of them. There are references of Murva ( Schult. and Schult.f.) at various contexts of "Sushruta Samhita" where it has been used as a suture material. It is a xerophytic herbaceous plant occurring abundantly in the eastern coastal region of India. The aim of this study is to evaluate the efficacy of Murva fibers as a suturing material in closure of intraoral incision in third molar surgeries.
Fifty incisions (Wards incision) placed for the surgical removal of mandibular third molar were sutured with Murva, and follow-up was carried out postoperatively on 1, 2, 3, and 7 day. Patients were evaluated for pain, swelling, bleeding, infection, wound dehiscence, local tissue irritation, and bacterial colonization.
On various follow-ups, progressively significant and predictable healing was observed without any uneventful evidence.
The use of Murva as a suture material proved to be effective in closure of intraoral incisions.
手术伤口的妥善缝合是外科手术最重要的方面之一;不当的缝合技术或不合适的缝合材料有时会影响手术的成功率。许多合成材料已经取代了古代曾用于缝合的天然材料,穆尔瓦就是其中之一。在《妙闻集》的各种语境中都有关于穆尔瓦(舒尔特和舒尔特.f.)的记载,它被用作缝合材料。它是一种旱生草本植物,在印度东部沿海地区大量生长。本研究的目的是评估穆尔瓦纤维作为缝合材料在第三磨牙手术中关闭口腔内切口的效果。
对50例因手术拔除下颌第三磨牙而做的切口(沃德切口)用穆尔瓦进行缝合,并在术后第1、2、3和7天进行随访。对患者进行疼痛、肿胀、出血、感染、伤口裂开、局部组织刺激和细菌定植情况的评估。
在各次随访中,观察到伤口逐渐显著且可预测地愈合,没有任何异常情况。
事实证明,使用穆尔瓦作为缝合材料在关闭口腔内切口方面是有效的。