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犬皮内缝合中可吸收缝线与不可吸收缝线的比较

Comparison of Absorbable and Nonabsorbable Sutures for Intradermal Skin Closure in Dogs.

作者信息

Balomenos Dimitrios B, Gοuletsοu Pagona G, Galatos Apostolos D

机构信息

Clinic of Surgery, Faculty of Veterinary Science, School of Health Sciences, University of Thessaly, Trikalon 224, 43100 Karditsa, Greece.

Clinic of Obstetrics and Reproduction, Faculty of Veterinary Science, School of Health Sciences, University of Thessaly, Trikalon 224, 43100 Karditsa, Greece.

出版信息

Vet Sci. 2023 Feb 1;10(2):105. doi: 10.3390/vetsci10020105.

DOI:10.3390/vetsci10020105
PMID:36851409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9960444/
Abstract

The study aimed to compare incisional wound healing with intradermal suture patterns performed with (a) absorbable suture with burying of the knots and (b) nonabsorbable suture anchored with clips. Ten dogs were included in the study. Surgically created skin incisions were apposed with continuous intradermal suture pattern with 4/0 poliglecaprone 25 with burying of the knots and continuous intradermal pattern with 4/0 polypropylene with clips. Cosmetic, clinical, ultrasonographic and histological scores were evaluated. The intradermal pattern with clips was easier to perform and required significantly less time to complete than the intradermal suture with burying of the knots. Cosmetic, clinical, ultrasonographic and histological evaluation scores did not differ significantly between the techniques. Irrespective of the technique used, the cosmetic, ultrasonographic, clinical and histological appearances of the incisions improved over time. In conclusion, polypropylene was found to be a safe and effective suture material for use with intradermal suture pattern with clips in dogs and to have an easy and quick application. However, in our sample, its earlier removal from wounds than poliglecaprone 25 was not found to be associated with a supposedly beneficial effect on wound healing and scar appearance. Both suture materials can be useful in intradermal suture techniques in dogs.

摘要

该研究旨在比较采用以下两种皮内缝合方式的切口愈合情况

(a) 用可吸收缝线并埋藏线结;(b) 用不可吸收缝线并用夹子固定。该研究纳入了10只犬。通过手术制造皮肤切口,分别采用连续皮内缝合方式,一种是用4/0聚乙醇酸25并埋藏线结,另一种是用4/0聚丙烯并用夹子固定。对美观、临床、超声和组织学评分进行评估。与埋藏线结的皮内缝合相比,用夹子的皮内缝合方式操作更简便,完成所需时间显著更少。两种技术在美观、临床、超声和组织学评估评分方面无显著差异。无论采用哪种技术,随着时间推移,切口的美观、超声、临床和组织学表现均有所改善。总之,发现聚丙烯是一种安全有效的缝线材料,可用于犬的带夹子皮内缝合方式,且应用简便快捷。然而,在我们的样本中,未发现其比聚乙醇酸25更早从伤口拆除与对伤口愈合和瘢痕外观产生的假定有益效果相关。两种缝线材料在犬的皮内缝合技术中都可能有用。

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本文引用的文献

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2
Comparison of continuous intradermal with simple interrupted suture pattern: an experimental study in dogs.连续皮内与单纯间断缝合比较:犬的实验研究。
Top Companion Anim Med. 2020 Nov;41:100454. doi: 10.1016/j.tcam.2020.100454. Epub 2020 Jun 7.
3
Assessment of the Effect of an Aliamide-containing Topical Gel by Evaluation of the Reduction of Wound Volume Measured by High R.
通过评估高分辨率测量的伤口体积减少情况来评估含阿里酰胺的外用凝胶的效果
Wounds. 2007 May;19(5):113-9.
4
High-frequency ultrasound biomicroscopy of the normal canine haired skin.正常犬有毛皮肤的高频超声生物显微镜检查
Vet Dermatol. 2014 Jun;25(3):176-e45. doi: 10.1111/vde.12120. Epub 2014 Mar 12.
5
Comparison of absorbable and nonabsorbable sutures for intradermal skin closure in cats.猫皮内皮肤缝合中可吸收缝线与不可吸收缝线的比较。
Can Vet J. 2010 Jul;51(7):770-2.
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Equal cosmetic outcomes with 5-0 poliglecaprone-25 versus 6-0 polypropylene for superficial closures.5-0 聚己内酯缝线与 6-0 聚丙烯缝线用于浅层缝合的美容效果相当。
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Use of high-frequency ultrasonography for evaluation of skin thickness in relation to hydration status and fluid distribution at various cutaneous sites in dogs.使用高频超声评估犬不同皮肤部位的皮肤厚度与水合状态及液体分布的关系。
Am J Vet Res. 2008 Sep;69(9):1148-52. doi: 10.2460/ajvr.69.9.1148.
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