Tandon S C, Kelly J, Turtle M, Irwin S T
Ward 2 Surgical Unit, Belfast City Hospital, UK.
J R Coll Surg Edinb. 1995 Jun;40(3):185-7.
Two hundred and thirty-six patients had a variety of skin and mucosal wounds sutured with a new rapidly absorbed suture material (irradiated polyglactin 910). No wound complications could be attributed to the material. These included 62 patients with scalp wounds, taking part in a comparative trial with traditional interrupted, monofilament, non-absorbable suturing. No difference in the cosmetic result could be detected three months later. The irradiated polyglactin disappeared from the wound surface spontaneously and suture removal was not normally required. Irradiated polyglactin 910 is suitable for closure of wounds where rapid suture absorption is desirable, particularly for wounds in the scalp, scrotum, and perineum and is an ideal material for mucocutaneous anastomosis at stoma surgery. Loss of suture strength is so rapid that suture removal is unnecessary, eliminating the need for further medical or paramedical care. As absorption is by hydrolysis rather than enzymatic digestion, stitch abscesses are not seen.
236例患者使用一种新型快速吸收缝合材料(辐照聚乙醇酸910)对各种皮肤和黏膜伤口进行了缝合。未发现伤口并发症可归因于该材料。其中包括62例头皮伤口患者,他们参与了一项与传统间断单丝不可吸收缝合的对比试验。三个月后未检测到美容效果有差异。辐照聚乙醇酸会自发从伤口表面消失,通常无需拆线。辐照聚乙醇酸910适用于需要快速吸收缝线的伤口闭合,特别是头皮、阴囊和会阴的伤口,是造口手术中黏膜皮肤吻合的理想材料。缝线强度丧失非常迅速,无需拆线,从而无需进一步的医疗或护理。由于吸收是通过水解而非酶消化,因此不会出现缝线脓肿。