Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “SUTURES”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 883 records · Page 49Linked to original sources
PubMed2005

[Evaluation of long-time resorption surgical sutures in tubal anastomoses with use of microsurgical techniques. An experimental study].

In the paper there have been evaluated synthetic absorbable surgical sutures--MAXON, of long time of their resorption in an organism. The valuation concerned their usefulness to carrying out the operations of oviducts with use of microsurgical technique. It consisted in determination of biocompatibility degree of analyzed sutures within tubal tissues and also their technical utility to this kind of procedures. The valuation of the surgical sutures was performed on the ground of experimental studies with use of laboratory animals--New Zealand white female rabbits, in which "end to end" microsurgical tubal anastomoses were made, with use of analyzed sutures. In further stage, pathomorphological investigations of the animals were performed (in various time after the operation), during which there were conducted microscopic observations of histologic slides derived from tubal anastomoses regions. The purpose of the work was trying to appoint the most adequate suture material for carrying out the operations of oviducts with use of microsurgical technique. It was also an assistance for an operator to take a decission of choice of the proper surgical sutures for surgical treatment of female mechanical infertility and other kind of microsurgical operations which are performed in gynaecology. Generally good technical utility in microsurgical practice of surgical sutures MAXON--absorbable of long period of their resorption in tissues was stated. They cause the formation of only single peritoneal adhesions, mainly in the regions of tubal anastomoses previously made and produce relatively small tubal tissue reaction, which testifies to high biocompatibility of the sutures, as the implantation material. The analyzed surgical sutures characterize themselves of very good usefulness to microsurgical operations of oviducts and they seem to be the most adventageous for performing this type of operations. They give a greater certainty of formation of durable accretion of tubal wall in the place of created anastomosis, with simultaneous complete elimination of the implantation material from the organism.

Absorbable Implants↗
PubMedDate not supplied

Adjustment of single continuous suture to control astigmatism after penetrating keratoplasty.

The presence of high amounts of regular and irregular astigmatism after penetrating keratoplasty has been a major challenge for corneal surgeons. We have devised a technique of suture adjustment which redistributes the tension in a single continuous 10-0 nylon suture according to keratometric findings and overcomes some of the limitations of other published methods for reducing penetrating keratoplasty astigmatism. Suture adjustment is performed at the slit-lamp microscope using topical anesthesia, from as early as the first postoperative day. The effects are controllable, reversible, stable, and can achieve relaxation or tightening of any meridian. Of 330 consecutive eyes undergoing penetrating keratoplasty, 205 required and underwent one or more suture adjustments. The mean keratometric astigmatism after suture adjustment was 2.87 D (SD = 1.87), compared to a preceding consecutive series of 136 eyes without suture adjustment with 4.80 D (SD = 3.13) mean astigmatism (P less than 0.0001). This effect persisted even when the suture had to be removed (P less than 0.0001). Infection did not occur. Only five eyes (2.4%) experienced a broken suture, which was readily spliced. We recommend adjustment of a single continuous suture, when moderate to severe astigmatism is present after a penetrating keratoplasty.

Adult↗
PubMed1987

Suture loop techniques to facilitate microsurgical and laparoscopic procedures.

Suture loop techniques have been devised to facilitate suture tying during microsurgical and laparoscopic procedures. The needle-through-the-noose technique involves making a knot by passing the needle of a suture through a noose loop formed near the distal end of the suture. This technique prevents inadvertant slippage of the suture's free short end through tissues, replaces the difficult first throw with simple passage of a needle through a noose and equalizes the amount of tension applied on the suture as it slides smoothly within the noose. The needle-through-the-noose knot can stand alone with continuous sutures but requires one more tie in interrupted sutures. The clock loop technique is based on turning the suture clockwise and counterclockwise for making square knots with instruments.

Female↗
PubMed1977

[Intestinal mechanical sutures: macroscopic and histological aspects (author's transl)].

The authors studied healing in digestive sutures carried out using automatic clips in the Dog. The mechanical conditions of the suture and in particular the absence of crushing are responsible for an almost perfect scar healing by first intention. The absence of ischemic necrosis remains the main factor differentiating these sutures from manual sutures where necrosis is constant, whether due to repeated trauma from forceps or ischemia due to tightening the threads, and above all, constant inclusion of the mucosa within the scar. The use of non-ischemic sutures explains undoubtedly the low incidence of fistulas, but explains, on the contrary, the large number of cases which bleed from the divided margins of the sutured or anastomosed layers; in rare cases, severe bleeding requires reoperation. These sutures are everted sutures causing a significant number of adhesions. We did not find any significant difference in the healing of inverted or everted sutures from the 15th day onwards.

Animals↗
PubMed1985

A new synthetic monofilament absorbable suture made from polytrimethylene carbonate.

The physical and biologic characteristics of a new synthetic absorbable monofilament suture, glycolide trimethylene carbonate (GTMC) are presented. The suture was formulated to combine predictable in vivo performance of synthetic absorbable sutures with the handling characteristics of a monofilament suture. Three in vivo studies were described: strength, gross and microscopic absorption and reaction, and radiolabelled decay. The studies carried out in rats showed cumulative strength retention of sizes 0, 00, 4-0 and 5-0 of 81 per cent at 14 days, 59 per cent at 28 days and 30 per cent at 42 days. Strength retention was consistent throughout the size spectrum. Absorption of sizes 00 and 4-0 were studied in subcutaneous implantations in rabbits. Histologic assessment of absorption obtained from serial sections at intervals of three to nine months showed that, in both sizes, complete absorption occurred between six and seven months. At six months, 83 per cent of size 00 was absorbed and size 4-0 was 93 per cent absorbed. At seven months, no implanted material was discernible histologically. Untoward tissue reactions, such as acute inflammatory cells, abscesses or tissue necrosis, were not observed. There were no signs of cellular mobilization of any kind observed remote from the implant. Absorption of GTMC sutures was achieved through the action of mononuclear and multinuclear macrophages which were confined to the implant and sequestered by a fibrous connective tissue capsule. When implant absorption was complete, resorbtion of the macrophage component was observed which was replaced by a narrow cord of fibrous tissue and collagen. The results of studies of radiolabelled sutures carried out in the subcutaneous tissues of rats revealed urine and expired CO2 to be the major excretary routes of the metabolites. By 22 to 24 weeks, 0.1 to 0.7 per cent of the total implanted radioactivity remained at the suture sites. Tissue deposition and excretion of radioactivity suggests similar metabolism of the sutures in both species. We conclude that GTMC sutures maintain good strength with little or no absorption during the critical wound healing period, absorbs completely from tissues in six to seven months with minimal tissue reaction and, therefore, provides an absorbable, flexible, monofilament material with extended support that is strong and effective.

Absorption↗
PubMed1985

Suture technique and early breaking strength of intestinal anastomoses and laparotomy wounds.

The influence of different suture techniques on early fascial and intestinal breaking strength was studied in rats subjected to either colonic anastomosis or median laparotomy only. Interrupted sutures were used throughout. The sutures were inserted either 3 mm or 1.5 mm from the wound edges. The breaking strength with the sutures in situ, i.e. the suture holding capacity, was measured either immediately or 48 hours after their insertion. The breaking strength of the sutured fascia, but not that of the colon, was higher when sutures were inserted at the longer distance from the wound edges. Postoperative decrease of suture holding capacity occurred in both colon and fascia, but only when the sutures had been placed near the incision.

Animals↗
PubMed1994

[A single-stage 2-layer suture in cesarean section--the effect of the surgical technic on postoperative febrile conditions].

The aim of the authors is to study the influence of the figure-of-eight suture of the uterine wall on the postoperative febrile complications. 1018 women, delivered with Caesarean were followed. 937 of them with conventional two layer suture of the uterine wall and the rest 81 with a figure-of-eight suture. Postoperative febrile complications were 15.58% in those with two layer suture against 3.5% in the rest 81. Using dispersion analysis the authors point that the on the type of uterine wall suture depends the rate of the postoperative febrile complications. The rate of influence of the figure-of-eight suture is up to 10%. Having in mind that this factor "suture", should be considered as 99% influential with a risk for mistake no more than 1%--F (8.06) > FT (6.64). The results presented show that the figure-of-eight suture is to be preferred to the conventional two layer suture of the uterine wall.

Cesarean Section↗
PubMed1976

Laboratory and clinical evaluation of a new synthetic absorbable suture for ophthalmic surgery.

A new synthetic absorbable suture, a copolymer of two simple hydroxy acids, glycolic acid and lactic acid, was evaluated in a laboratory and clinical study for its usefulness in ophthalmic surgery. The glycolactide was compared with chromic collagen of similar size. The 8/0 glycolactide showed 30% greater initial strength than 8/0 chromic collagen. Following implantation of the suture in rabbit corneas, the suture was removed at intervals and its rupture strength tested. At the end of 1 week the glycolactide retined over 90% of its initial rupture strength while chromic collagen had lost nearly 50% of its strength. After 10 days the strength of the glycolactide tended to fall rapidly and by day 21 the suture had negligible strength and began to absorb, completely disappearing by 7 weeks. Chromic collagen tended to remain in situ for many weeks although possessing negligible rupture strength. The 8/0 glycolactide was compared with 8/0 chromic collagen in suturing corneoscleral wounds of 45 consecutive patients undergoing routine cataract surgery. Handling qualities were judged and the eyes followed post-operatively to ascertain reaction to the sutures and time of final disappearance of the sutures from the eyes. The glycolactide showed no tendency to disappear from the wounds until after the fourth week. By the end of 9 weeks all the glycolactide sutures had disappeared. Chromic collagen, on the other hand, was more variable, some sutures disappearing as early as the third week while others remained in place essentially unchanged for more than 20 weeks. Neither glycolactide nor chromic collagen showed any tendency to excite reaction in the eyes and the incidence of complications was low.

Absorption↗
PubMed1998

Internal calvarial bone distraction in rabbits with delayed-onset coronal suture synostosis.

Recent studies have identified a subpopulation of craniosynostotic individuals who exhibit progressive or delayed-onset synostosis and mild craniofacial growth abnormalities. These individuals may be good candidates for nonextirpation, distraction osteogenesis therapy. The present study was designed to test this hypothesis by using internal calvarial bone distraction in a rabbit model with familial delayed-onset craniosynostosis. Data were collected from 159 rabbits: 71 normal controls, 72 with delayed-onset coronal suture synostosis, 8 with delayed-onset coronal suture synostosis and coronal suturectomy, and 8 with delayed-onset coronal suture synostosis and distraction. At 10 days of age, all rabbits had amalgam markers placed on both sides of the frontonasal, coronal, and anterior lambdoidal sutures. At 25 days of age, correction was accomplished through either a 5-mm-wide suturectomy or distraction osteogenesis. An internal distraction appliance was fixed to the frontal and parietal bones and percutaneously and intermittently activated at an average of 0.10 mm/day for 42 days (4.11 mm total). Serial radiographs were taken at 10, 25, 42, and 84 days of age. Results revealed that rabbits with delayed-onset synostosis had significantly (p < 0.01) reduced coronal suture growth rates (0.04 mm/day) compared with the other three groups (0.07 mm/day). Rabbits with suturectomy and rabbits with distraction showed similar coronal suture responses. However, from 42 to 84 days of age, rabbits with distraction showed reduced growth at the vault sutures and abnormal growth patterns in cranial vault width, cranial vault shape, and cranial base angulation compared with the other three groups. Results demonstrated that, although the normal coronal suture growth rate was maintained in rabbits with delayed-onset synostosis using intermittent distraction osteogenesis, normal adult craniofacial structure was not achieved. Such anomalous growth was probably a result of altered growth vectors and compressive forces at adjacent sutures during distraction. These findings suggest that distraction osteogenesis without corticotomy may be a treatment alternative in individuals with progressive, delayed-onset synostosis, but that internal appliances that generate low-level, continuous distractive forces should be investigated and developed.

Animals↗
PubMed1998

[The single-row suture in the pyloroplasty of patients with perforated pyloroduodenal ulcers].

The authors made an analysis of the immediate and long-term results of truncal vagotomy for perforating gastroduodenal ulcers in accordance with the kind of the suture in operation of stomach drainage. In 282 patients pyloroplasty was performed with placing a two-row suture, in 239 patients a one-row suture was used. Lethality among the patients with the two-row sutures was 2.1% in those with the one-row suture--0.4%. The placing of one-row sutures was followed by a relatively smaller amount of complications at the early postoperative period. An analysis of long-term results has shown that the one-row suture gives much greater amount of excellent results as compared with the two-row suture. The authors recommend to use the one-row suture in all the cases of perforating pyloroduodenal ulcers irrespective of the phase of intraperitoneal inflammation.

Duodenal Ulcer↗
PubMed1994

Relationship of squamosal suture to asterion on external skull surfaces versus endocasts of pongids: implications for Hadar early hominid AL 162-28.

The relationship between the squamosal suture and asterion was quantified in 15 hemispheres of eight chimpanzee endocasts that were aligned in the conventional lateral view (i.e., with frontal pole [FP]-occipital pole [OP] horizontal). Using a three-dimensional digitizer, x, y, and z coordinates were collected for the highest and lowest points of the squamosal suture, and the most rostral point of the suture approximate to the coronal suture. Our results were compared to a similar study of the squamosal suture on the external surfaces of chimpanzee skulls that were oriented in the Frankfurt horizontal (Holloway and Shapiro, 1992). The relationship between the squamosal suture and asterion differs markedly between the outsides of skulls and endocasts. Whereas the squamosal suture is very rarely below asterion on the external skull, we found that most of the squamosal suture is located inferior to asterion on endocasts. We also found that the squamosal suture courses approximately 2.0 mm lower on the right side than the left. (An asymmetry of the same magnitude was reported for the external skull but, curiously, in the opposite direction.) It may be that a lowered right squamosal endosuture on chimpanzee endocasts is associated with earlier closure on that side. The discrepancy in results for the external skull versus endocast is partially attributable to orienting chimpanzee skulls in the Frankfurt horizontal, which usually results in the endocasts being tilted so that FP is above OP, i.e., FP-OP is not parallel with the Frankfurt horizontal. Falk's (1985) orientation of the early hominid endocast from Hadar (AL 162-28) is consistent with data determined from endocasts of chimpanzees.

Animals↗
PubMed1986

Egg capsules of a parasitic turbellarian flatworm: ultrastructure of hatching sutures.

Egg capsules of Syndisyrinx franciscanus, an intestinal parasite of sea urchins (Strongylocentrotus spp.), consist of a bulb, which contains the embryos, and a stalk-like filament. The wall of the bulb is about 12 microns thick and is composed of sclerotized proteins. The end of the bulb opposite the attachment of the filament bears a reticulum of hatching sutures. Transmission electron microscopy discloses that hatching sutures traverse the entire thickness of the capsule wall. The inner 9-10 microns of sutures are a uniform 20 nm in width and contain a trilaminar cementum. The outer 2-3 microns of sutures are 15 nm to more than 500 nm in width and contain an electron-lucent cementum. The latter may contain an irregular, median, electron-dense layer or, more commonly, electron-dense granules. The outside of some capsules is partially covered by a thin, electron-dense material. A previous study showed that sutures in intact capsules of Syndisyrinx franciscanus are not affected by host digestive fluids, but are severely weakened immediately prior to hatching owing to activities of the embryos. The hypothesis that the embryos secrete a hatching enzyme is supported by findings that sutures of intact capsules are not affected by externally applied trypsin, but become weakened when capsules are cut open and then incubated in trypsin. Scanning electron microscopy reveals that the outer parts of sutures often remain intact after hatching. We hypothesize that the ability of sutures to resist enzymatic attack from the outside, but not the inside, results from differences in the chemical properties of the cementums in outer and inner parts of sutures.

Animals↗
PubMed1977

Sutural development: structure and its response to rapid expansion.

This fine structural study of the suture, its development, structure, and response to rapid expansion has shown that the sutural complex is best described in terms of the functional activity of two cell populations, namely, the osteocytic and fibrocytic series, which have the ability to remodel the tissues which they form. It is suggested that the previous detailed descriptions of differences in fiber orientation and vascular distribution reflect functional activity of a suture at any given time rather than immutable anatomic characteristics. Development of the suture and its rapid expansion showed many similarities in that growth during development and orthopedic expansion both separate the joint. If the initial inflammatory aspect of rapid expansion is ignored, the response of the suture is one of osteogenesis and fibrillogenesis, followed finally by remodeling. It is also suggested that sutural expansion involves injury followed by a proliferative repair phenomenon which, in other tissues, usually leads to the formation of scar tissue. However, the ability of sutural connective tissue fibroblasts to remodel ultimately leads to regeneration of the suture. Finally, programmed cell death has been shown to be an important feature in the development of the suture.

Activator Appliances↗
PubMed1991

Treatment of tubal ectopic pregnancy by salpingotomy with or without tubal suturing and salpingectomy.

Thirty-four women with unruptured tubal ectopic pregnancy (EP) were randomly assigned to undergo salpingotomy without tubal suturing (n = 15) or salpingotomy with tubal suturing (n = 19). The reproductive performance of these patients was compared with 24 patients who underwent salpingectomy for their EP (historical control). Using life table analysis, the cumulative probability of intrauterine pregnancy (IUP) at 12 and 24 months was 45% and 45% after salpingotomy without tubal suturing and 21% and 47% after salpingotomy with tubal suturing, respectively. The cumulative probability of IUP after salpingectomy (21% and 26% at 12 and 24 months, respectively) was significantly lower than after salpingotomy with or without tubal suturing. There was no difference in the cumulative probability of EP after salpingotomy with or without tubal suturing, but it was significantly higher than after salpingectomy. In 18 women who subsequently underwent laparoscopy or laparotomy, no significant difference was found between the degree of adhesions after salpingotomy with or without tubal suturing. These findings suggest that IUP after conservative treatment is higher than after salpingectomy, but recurrent EP is also higher. Intrauterine pregnancy occurs earlier after salpingotomy without tubal suturing than after salpingotomy with tubal suturing. This might be because of rapid return of tubal function after healing by secondary intention.

Adult↗
PubMed2000

The influence of chemical treatment and suture on the elastic behavior of calf pericardium utilized in the construction of cardiac bioprostheses.

Poor mechanical properties of biological tissue are known to cause wear, leading to the failure of cardiac bioprostheses made of calf pericardium. Different chemical agents such as sodium dodecyl sulfate (SDS) are presently being tested as possible inhibitors of the calcification process. The objective of this report was to determine the mechanical behavior of calf pericardium treated with SDS for 24 h and the influence of the suture on the mechanical properties of the tissue. Forty-eight samples were tested: 24 subjected to a standard treatment with glutaraldehyde (12 sewn with 4/0 silk suture thread) and 24 incubated with SDS for 24 h (12 sewn with the same suture thread). Each sutured and non-sutured sample was cut into two strips to yield paired samples. All were subjected to tensile stress to breaking point. The mean stress at breaking point in the non-sutured series treated with glutaraldehyde alone was 16.42 and 13.85 MPa depending on the region of the pericardium, while in the sutured samples subjected to glutaraldehyde the mean stress was 7.50 and 7.63 MPa, respectively, differences which were statistically significant (p = 0.03 and p = 0.003, respectively) when the means for non-sutured samples from equivalent regions treated with glutaraldehyde were compared. The stress at breaking point was lower in the SDS-treated series, ranging between 2.60 and 3.56 MPa. The mathematical functions that govern the stress/strain or deformation were obtained. In the series of pericardium treated with SDS, deformations of 10% were produced with stresses of under 0.4 MPa, an outcome that is intolerable from the constructive point of view. We established a regression model that enabled us to determine the mechanical behavior of a sutured sample by testing a contiguous piece of tissue, with a high correlation coefficient (r \gt 0.99). We consider this finding to be of interest in the selection of pericardium for use in the construction of leaflets for cardiac bioprostheses.

Journal Article↗
PubMed2002

Mandibular form in a rabbit model of familial nonsyndromic coronal suture synostosis.

Nonsyndromic coronal suture synostosis produces predictable and well-documented morphologies of the cranial vault with anteroposterior growth restrictions and mediolateral compensatory growth. The potential effects of nonsyndromic coronal suture synostosis on mandibular form are not as clear, however. This study was designed to evaluate whether coronal suture synostosis is associated with alterations in mandibular form by using a familial rabbit model of coronal suture synostosis. To assess this potential relation, the following hypothesis was tested: mandibular form in rabbits with coronal suture synostosis is significantly (P < 0.05) different from that seen in normal rabbits. The cleaned and dried mandibles of 33 adult New Zealand white rabbits were used (12 from normal rabbits, 13 from rabbits with delayed-onset synostosis, and 8 from rabbits with complete coronal suture synostosis). Seven anatomical landmarks on the mandible were located and digitized in three dimensions: anterior molar on the alveolus, posterior molar on the alveolus, coronoid process, anterior pole of the condyle, condylar process, angular process, and mandibular angle. To describe the mandibular condyle, the distance from the anterior pole to the posterior pole of the condyle was measured with digital sliding calipers, as was the distance between the medial and lateral poles. A shape ratio was then created using the dividend of these sums. Statistical analyses of mean form differences between mandibles were executed using Euclidean distance matrix analysis. Statistical analyses of the mandibular condyle linear and shape measurements were analyzed using one-way ANOVA in the three groups. Results showed that complete coronal suture synostosis is associated with significant (P < 0.05) differences in mandibular form compared with that of normal rabbits but that mandibular form in rabbits with delayed-onset synostosis does not differ from that of normal rabbits (P > 0.05). In particular, distances involving the coronoid process in rabbits with coronal suture synostosis were significantly different, paralleling previous work in human patients with coronal synostosis. There are no intrinsic condylar linear or shape differences between any of these groups, however. The form difference noted is most likely secondary to the synostosed coronal suture and may reflect alterations in the cranial base or masticatory musculature in this rabbit model.

Analysis of Variance↗
PubMed2002

Unilateral fusion of the frontosphenoidal suture: a rare cause of synostotic frontal plagiocephaly.

Unilateral coronal synostosis is the common appellation for premature, one-sided fusion of the frontoparietal suture-the most common cause of synostotic frontal plagiocephaly. However, frontal asymmetry can also result from isolated fusion across the anterior cranial base without involvement of the frontoparietal suture. This article describes three patients with localized synostosis of the frontosphenoidal suture, the medial extension of the coronal ring. Two patients were initially misdiagnosed as having unilateral coronal synostosis and the other as having deformational frontal plagiocephaly. The patients had variable frontal flattening, with depression and recession of the ipsilateral orbital rim. The nasal root was midline or slightly deviated to the contralateral side. The sagittal position of the ipsilateral malar eminence was slightly retruded in one patient and symmetric in the other two. The auricular position was symmetric in the sagittal plane for all patients. In all three patients, computed tomography examination demonstrated a patent frontoparietal suture and fusion of the frontosphenoidal suture (basilar hemicoronal ring). Two patients had involvement of contiguous sutures: one had fusion extending to the sphenoethmoidal suture and the other's involved part of the sphenozygomatic suture. The sagittal suture was midline in all patients. In summary, synostotic frontal plagiocephaly denotes a relatively broad phenotypic spectrum that includes unilateral coronal synostosis and more isolated fusions in the basilar coronal ring. The physical findings resulting from frontosphenoidal synostosis are unique, yet careful evaluation will minimize confusion with other causes of asymmetric frontal flattening. Proper diagnosis necessitates awareness of this uncommon entity and requires focused computed tomographic assessment.

Craniosynostoses↗
PubMed2004

Do suture zones exist?

Remington (1968) argued that 13 suture zones exist in North America. Remington defined a suture zone as, "a band of geographic overlap between major biotic assemblages, including some pairs of species or semispecies which hybridize in the zone" (p. 322). Although initially controversial, the idea that suture zones exist has picked up momentum over the past decade, due largely to the phylogeographic work of Hewitt, Avise, and their colleagues. Nevertheless, the reality of suture zones has not yet been subjected to rigorous analysis using statistical and geographic information system (GIS) approaches. To test for the existence of Remington's suture zones, we first identified 117 terrestrial hybrid zones in Canada and the United States through a literature search for the key words "cline," "contact zone," "hybrid zone," and "hybridization" in articles published between 1970 and 2002. The 117 hybrid zones were mapped using a GIS approach and compared with a digitized version of Remington's original suture zone map. Overall, there does appear to be an association between hybrid zones and suture zones, but this association is largely attributable to clustering of hybrid zones in only two of the 13 suture zones recognized by Remington. The results suggest that evolutionary biologists should retain some skepticism toward Remington's suture zones.

Demography↗