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                      Suture the animal wounds

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                      dog dehydration in summer
                      Dog dehydration symptoms
                      July 21, 2020
                      The moist environment is the best in the wound healing process
                      Wounds healing
                      August 27, 2020
                      Published by Ematik on August 5, 2020
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                      • materials of suture
                      • suture
                      Quali materiali scegliere per le suture animali

                      Suture the animal wounds

                      How to suture animal wounds, choice of materials and their use

                      Sutures role in the wound repair process is to provide hemostasis and support for tissue healing .
                      Some tissues need support for few days only (e.g. muscle, subcutaneous tissue, skin), whereas others require weeks (fascia) or even months (tendon) to heal.

                      The ideal suture is easy to handle

                      reacts minimally with the tissue, inhibits bacterial growth, holds securely when knotted, resists shrinking in tissue, is non-capillary, non-allergenic, non-carcinogenic and absorbs with minimal reaction after the tissue has healed. Unfortunately, the so-called ideal suture does not exist. What the operator can do is to choose the best technique and tools. In veterinary practice, this is what we have available. Suture materials are classified as absorbable or non-absorbable, natural or synthetic, and monofilament or multifilament, according to their composition and structure.

                      For more information on wound care, read our article on how to use the PRP for animal wound care
                      ✕
                      Quali materiali scegliere per le suture animali

                      Absorbable suture materials...

                      Absorbable suture materials are defined as materials that lose their tensile strength within 60 days of implantation. Natural materials are absorbed through enzymatic degradation, whilst newer synthetic absorbable sutures are absorbed through nonenzymatic hydrolysis.
                      The advantage of new synthetic sutures is that, during the process of non-enzymatic hydrolysis, absorption rates are not significantly affected by the presence of infection or inflammation.

                      Absorbable suture materials used in veterinary practice include: surgical gut, polyglactin 910, polyglycolic acid, poliglecaprone 25, polydiaxanone, polyglyconate and panacryl

                      ...and the non-absorbable materials

                      Non-absorbable suture materials are those not significantly degraded after implantation and are used where extended wound support is required. Natural fibers tend to invoke significant inflammatory reactions, thus the preference for synthetic non-absorbable sutures. Care should be taken when using multifilament non-absorbable materials due to their inherent capillarity. Non-absorbable suture materials used in veterinary surgery include: silk, polybutester, polyester, nylon, polypropylene and stainless steel.

                      Monofilament sutures are made of a single strand of material. They have less tissue drag than multifilament sutures and do not have interstices that may harbor bacteria.

                      Mono and multifilament

                      Multifilament sutures generally consist of several strands of suture that are twisted or braided together. About the needle, its choice is based upon tissue type, location, accessibility of tissue and size of suture material. The needle should be of the smallest size possible to penetrate the tissue, yet long enough to penetrate both sides.
                      Lastly the knot, it is the weakest part of the suture. In general, square knots are used because they are the most secure. Choosing the appropriate suture is based on suture characteristics, tissue requirements and surgeon’s preferences. When selecting suture, the general objective is to choose a suture that can hold together the tissues that have been separated until healing has occurred.

                      Come suturare le ferite animali
                      If you have an extensive lesion that prevents suturing, Ematik Ready compensates for the lack of tissue, providing suturable support with the wound flaps, while accelerating regeneration.
                      ✕

                      General recommendations for small animal veterinary surgeons regarding suture selection in different tissues are:

                      Tissue Suture material Usp (Suture size) Surgical needle
                      Skin Polyamide
                      Polypropylene
                      Poliglecaprone 25
                      Polyglytone 6211
                      Poliglecaprone 25
                      2-0 to 4-0 Cutting or reverse cutting
                      Subcutaneous tissue Polyglactin 910
                      Polyglycolic acid
                      Lactomer 9-1
                      Polydioxanone
                      2-0 to 4-0 Taper
                      Linea alba & fascia Polyglyconate
                      Polypropylene
                      Polyglactin 910
                      Polyglytone 6211
                      Polyglycolic acid
                      1 to 3-0 Taper or Reverse cutting
                      Muscles Glycomer 631
                      Polydioxanone
                      Lactomer 9-1
                      2-0 to 3-0 Taper
                      Tendons Polyglyconate
                      Polypropylene
                      Poliglecaprone 25
                      Glycomer 631
                      1 to 3-0 Taper-cut
                      Hollow viscous organs Polydioxanone
                      Polyglyconate
                      Glycomer 631
                      2-0 to 5-0 Taper
                      Parenchymal organs Polyglyconate
                      Polydioxanone
                      Polyglactin 910
                      Lactomer 9-1
                      Polyglycolic acid
                      2-0 to 5-0 Blunt
                      Blood vessels (ligation) Polydioxanone
                      Polyglyconate
                      Glycomer 631
                      Poliglecaprone 25
                      0 to 4-0 Taper
                      Oral and Pharyngeal Cavity Polydioxanone
                      Polyglyconate
                      3-0 to 4-0 Taper

                      Fonti


                      1-Stefanos Kladakis et al., “Choosing sutures in small animal surgery”, Journal of Dairy, Veterinary & Animal Research ; 2014
                      2- RHH TAN et al., “Suture materials: composition and applications in veternary wound repair”, Aust Vet J; 2003

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