a Division of Public Health Sciences, Department of Surgery , School of Medicine, Washington University , St. Louis , MO , USA.
b Division of Dermatology, Department of Medicine , School of Medicine, Washington University , St. Louis , MO , USA.
J Dermatolog Treat. 2019 Jun;30(4):350-351. doi: 10.1080/09546634.2018.1514100. Epub 2018 Sep 21.
Biopolymer suture materials, namely gut and silk, represent under-recognized sources of potential ethical conflict in the informed consent of surgical patients. Objections to acceptance of such products may be made on both religious and secular grounds, and should not be discounted by assumption. Consistent with contemporary medical ethics, informed consent thus ought to include disclosure of use and source of these animal-derived products, as is the case with dressings and prostheses. Potential substitutes may be found in synthetic suture materials suitable for both absorbable and permanent placement, providing practical options to the conscientious physician.
生物聚合物缝线材料，如肠线和丝线，是手术患者知情同意中潜在伦理冲突被低估的来源。出于宗教和世俗原因，人们可能反对接受此类产品，不应一概而论地认为这些反对意见无足轻重。与当代医学伦理学一致的是，知情同意应该包括这些动物源性产品的使用和来源的披露，就像敷料和假体一样。在适合可吸收和永久性放置的合成缝线材料中，可以找到潜在的替代品，为有良知的医生提供实际选择。
