The Effect of Topical Agents on the Tensile Strength of Absorbable and Non-absorbable Suture Materials—An in Vitro Study

Introduction Topical agents are sometimes applied to surgical wounds after closure; these may include antiseptics or antibiotics. Minimal research has been undertaken to investigate the effect of topical regimens on the tensile strength of suture materials. Aim To investigate the effect of four commonly used wound care regimens on the tensile strength of suture materials. Methods The failure load of 9 different suture materials was tested using the Instron Electroplus E3000 tensile testing machine (Instron Corporation, Norwood, Massachusetts). Tensile strength was represented as the failure load, measured in Newtons (N), and defined as the maximal load that could be applied across the suture prior to failure. Each suture was tested dry and after immersion in one of 4 products for 7 days and tested on day 7. The immersion agents tested were: sodium chloride 0.9%, MicroSafe® (Sonoma Pharmaceuticals, Petaluma, CA), Aqueous Povidone-iodine 10% solution (Betadine—Mundipharma), and Fucidin ointment. Results Sodium chloride 0.9%, MicroSafe®, Aqueous Povidone-iodine 10%, and Fucidin seem to increase the failure load of most absorbable and non-absorbable sutures. However, the failure load of Polyglactin 910 suture (Surgilactin, coated, violet-Ethicon) is reduced by long-term exposure to either sodium chloride 0.9% or MicroSafe®, while the failure load of the Polydioxanone suture (PDS Plus-Ethicon) is reduced by long-term exposure to MicroSafe® only. Conclusion In our experiment, the commonly used wound care products have been shown to alter the tensile strength of suture materials. Further human studies are required to ascertain the clinical validity and applicability of our findings..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

World Journal of Surgery - 47(2022), 2 vom: 31. Okt., Seite 448-454

Sprache:

Englisch

Beteiligte Personen:

Alnaqi, Amar [VerfasserIn]
Burhamah, Waleed [VerfasserIn]
Al-Sultan, Ahmad T. [VerfasserIn]
Taqi, Esmaeel [VerfasserIn]

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© The Author(s) under exclusive licence to Société Internationale de Chirurgie 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s00268-022-06788-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR048948144