Fast absorbing surgical gut suture is a
strand of collagenous material prepared from the sub mucosal layers of the
small intestine of healthy sheep, or from the layers of the small intestine of
healthy cattle. Fast absorbing surgical gut sutures are sterile and elicit only
a slight to minimal tissue reaction during absorption. Fast absorbing surgical
gut sutures differ from U.S.P. minimum strength requirements by less than
thirty percent. Fast absorbing surgical gut sutures are intended for dermal
suturing only. They should be utilized only for external knot tying procedures.
The results of implantation studies of
fast absorbing surgical gut sutures in the skin of animals indicate that nearly
all of its original strength is lost within approximately seven days of
implantation. When surgical gut suture is placed in tissue, a moderate tissue
inflammation occurs which is characteristic of the foreign body response to a
substance. This is followed by a loss of tensile strength followed by a loss of
suture mass, as the enzymatic digestive process dissolves the surgical gut.
This process continues until the suture is completely absorbed. Many variable
factors may affect the rate of absorption.
Data obtained from implantation studies in rats show that the absorption
of these sutures is essentially complete by the twenty first to forty second
post implantation day.
Users should be familiar with surgical
procedures and techniques involving gut suture before using fast absorbing
surgical gut suture for wound closure, as the risk of wound dehiscence may vary
with the site of application and the suture material used. The use of this
suture may be inappropriate in elderly, malnourished, or debilitated patients,
or in patients suffering from conditions which may delay wound healing. As this
is an absorbing material, the use of supplemental non absorbable sutures should
be considered by the surgeon in the closure of sites which may undergo
expansion, stretching or distention or which may require additional support. As
an absorbable suture, fast absorbable surgical gut may act transiently as a
foreign body. Acceptable surgical practice should be followed in the management
of contaminated or infected wounds.
Adverse effects associated with the use of
this fast absorbable surgical gut include wound dehiscence, variable rates of
absorption over time (depending on such factors as the type of suture used, the
presence of infection and the tissue site), failure to provide adequate wound
support in closure of sites where expansion, stretching or distention occur,
etc., unless additional support is supplied through the use of non-absorbable
suture material, failure to provide adequate wound support in elderly,
malnourished or debilitated patients or in patients suffering from cancer,
anemia, obesity, diabetes, infection or other conditions which may delay wound
healing, allergic response in patients with known sensitivities to collagen
which may result in an immunological reaction resulting in inflammation, tissue
granulation or fibrosis, wound suppuration and bleeding, as well as sinus
formation, infection, moderate tissue inflammatory response characteristic of
foreign body response, and calculi formation in urinary track when prolonged
contact with salt solutions such as urine and bile occurs, and transitory local
irritation at the wound site.
More information, please visit: www.sosmedicalsuperstore.com
Sutures used for stitching the tissues must be quality sutures as ordinary sutures may fail in many cases.
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