Correlation of Suture Diameter With Its Ability to Cut Through an Artificial Skin Model.

Autor: Xiong MY; Bennett Surgery Center, Santa Monica, California.; Department of Dermatology, University of Southern California, Los Angeles, California., Bennett RG; Bennett Surgery Center, Santa Monica, California.; Department of Dermatology, University of Southern California, Los Angeles, California.; Department of Dermatology, University of California Los Angeles, Los Angeles, California.
Jazyk: angličtina
Zdroj: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] [Dermatol Surg] 2021 Apr 01; Vol. 47 (4), pp. 480-482.
DOI: 10.1097/DSS.0000000000002875
Abstrakt: Background: Sutures can tear through tissue, but little data exist on the relative ability of different suture gauges and suture types to cut into the skin.
Objective: To quantify the relative ability of various sutures to cut into and tear through the skin.
Methods and Materials: We tested 4 suture types (polypropylene, nylon, polyglactin 910, and poliglecaprone 25) at 2 gauges each (3-0 and 5-0) in their ability to cut into and tear through an artificial skin substitute comprised of a 1-mm thick silicone sheet. The force required to cut into and through the skin substitute was measured using a digital force gauge that generated a force-time curve. The suture diameters were verified using both a precision caliper micrometer and an eyepiece micrometer with the microscope. Statistical analysis was performed using the Student t-test and analysis of variance.
Results: All 5-0 suture types required less force to cut into and tear through the skin substitute than their 3-0 counterparts. Among each suture gauge, there was no significant difference in tear-through force regardless of the suture type.
Conclusion: Compared with larger gauge sutures, smaller gauge sutures more easily cut into and tear through skin substitute.
(Copyright © 2020 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze: MEDLINE