Comparison of absorbable and nonabsorbable sutures for intradermal skin closure in cats (original) (raw)
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Animals : an Open Access Journal from MDPI, 2021
Simple Summary The choice of suture material for skin closure can affect the final cosmetic outcome, the risk of wound infection, and other complications in companion animals. We assessed two commercially available suture materials, namely Caprosyn and Monocryl, for use in suturing the skin of dogs, by using cosmetic, clinical, and histological evaluation. The results indicate only minimal differences between the two products, although better scores were achieved after using Monocryl. Both were found sufficient for use in intradermal suturing in dogs. The earlier absorption of Caprosyn, compared to Monocryl, did not have any additional beneficial effect on wound healing and scar appearance in dogs. Abstract The objective of this work was the comparative evaluation of the healing process after employing 4/0 poliglecaprone 25 and 4/0 polyglytone 6211 in a continuous intradermal suture pattern. Ten Beagle dogs were used, in which skin incisions were created surgically and subsequently ...
Journal of the American Veterinary Medical Association, 2016
Small Animals & Exotic M any suture patterns and materials have been described for routine incision closure. Considerations for selection of an appropriate suture pattern and material include inflammatory response, risk of surgical site infection, knot security, tensile strength, suture handling, cost, risk of dehiscence, and speed of application. 1 Each suture pattern has its unique advantages and disadvantages. Common interrupted external suture patterns in the skin include the simple interrupted and cruciate patterns. These patterns allow more precise approximation of the skin edges along with more security than continuous buried suture pat
Veterinary Surgery, 1978
Closure of midline abdominal wall incisions in 469 dogs and 81 cats following various intraabdominal procedures was accomplished by using a single layer, simple continuous pattern with monofilament polypropylene. Skin was closed using simple interrupted nonabsorbable sutures. Weight of the patients ranged from 1 kg to 80 kg. Length of the incision ranged from 3 cm to 55 cm. There was one dehiscence (0.18%) and no incisional hernias. Results indicate the technique is a dependable, time saving method of abdominal closure. HE abdominal cavity is frequently entered by vet-T erinary surgeons for a variety of reasons. Consequently, it must be closed in a secure method to allow healing and provide as little morbidity as possible. The most serious complication, with a reported mortality rate of 25-45%, is that of abdominal wall dehiscence. The incidence of this complication in the dog and man has been reported to be 0.5-5%.1-5 Various methods of abdominal closure in dogs and cats have been published in the veterinary litera-t~r e. '~~,~ Although suture materials have varied, a simple, interrupted pattern has been advocated almost exclusively. Recently, several studies in man have shown that a technique involving simple continuous closure using non-absorbable sutures was both safe and e f f e c t i~e .~,~ No reports in the veterinary literature pertaining to this type of closure could be found.
2013
Two methods of anchoring continuous intradermal suture (buried knot and pulley knot-free patterns) in abdominal skin incisions in cats were compared to determine which method is more cosmetically-acceptable. Nine female cats were subjected to routine ovariectomy with two ventral midline incisions 2 cm apart. The abdominal layer was closed routinely, while the cranial and caudal skin incisions were closed using the continuous intradermal suture pattern anchored alternately with the buried knot or pulley knot-free pattern. The wounds were observed daily and skin biopsy was done at 7, 14 and 21 days post-operation. Aesthetically, the pulley knot-free anchor showed a lesser degree of pus formation and less elevation than buried knot, while the buried knot had less dehiscence than pulley-free anchor. The two methods were found equal in degree of scab formation, hyperemia and scar formation. Microscopically, no differences between the two methods were observed with regards to the presence of hemorrhage, wound gap, inflammation and fibroblastic proliferation. Although there were no significant differences between the two anchor methods, the novel pulley knot-free anchor provides a more adequate wound apposition, especially at the end of the incision than the buried knot.
INDUS JOURNAL OF BIOSCIENCES RESEARCH https://induspublisher.com/IJBR ISSN: 2960-2793/ 2960-2807, 2024
Skin closure is a critical component of surgical procedures, and the selection of suture material has a significant impact on wound healing outcomes. This investigation aims to compare the effectiveness of absorbable and nonabsorbable sutures for skin closure in rabbits. An experimental study was conducted on thirty (n=30) male rabbits aged 9.78+0.46 weeks and with an average weight of 1186.94+69.93 gms. Rabbits were divided into two groups, with one receiving absorbable sutures while the other received non-absorbable sutures. Wound healing parameters such as wound closure time, tensile strength, tissue reaction, and histological evaluation were evaluated over a specified period. Our findings suggest that both types of suture materials are effective in closing skin wounds in rabbits. However, absorbable sutures exhibited faster wound closure times and less tissue reaction compared to non-absorbable sutures. Conversely, non-absorbable sutures demonstrated higher tensile strength and better histological evaluations at the wound site. The results indicated significantly better wound healing with non-absorbable suture material than with absorbable suture material; indeed, there was an outstandingly high (++++) wound healing score when using non-absorbable suture material compared to that obtained from using absorbables. Moreover, rabbits recovered excellently from wounds treated with non-absorbables; thus, demonstrating that choosing a specific type of suture material should be based on individual patient factors and requirements for each surgical procedure. Further studies are required to confirm these findings across larger animal models or human patients conclusively. In conclusion, it is evident that opting for non-absorbent materials results in expedited skin wound healing with superior outcomes when compared to their absorbent counterparts.
Veterinary Surgery, 1987
Swelling and inflammation along the incision line were observed after elective ovariohysterectomy in 22 of 66 cats in a retrospective study. In a prospective study of 99 feline abdominal incisions closed with surgical gut, polyglactin 910, or polydioxanone, with and without subcutaneous closure, the least inflammation occurred when the linea alba was sutured with polyglactin 91 0 and the subcutaneous tissues were not sutured. Histologically, reactions in the linea alba of 12 other cats progressed from purulent to fibromononuclear to fibrous within 14 days after closure with gut, polyglactin 910, and polydioxanone. Microscopic evidence of seroma formation in 9 of 12 animals in which the subcutaneous tissue was not sutured suggested that surgical closure of subcutaneous dead space was indicated. The inflammatory reaction did not appear to be related to any one suture material as reactions were seen with all of them.
Journal of Dairy, Veterinary & Animal Research, 2019
The purpose of this study is to identify a suture technique that provides superior cosmetic outcomes and proper wound healing for skin closure after midline laparotomy of small animals in a rabbit model. This study also attempts to clarify the role of selected four suture patterns in wound healing, wound complications, cosmetic impacts and histopathology on the laparotomy skin wound. Twenty four female rabbits of white New Zealand and California breeds were used for this experimental study. Four suture patterns were compared for cutaneous closure of a 7–cm midline laparotomy wound, classified as; buried continuous subcuticular–intradermal (BCSID), interrupted cruciate mattress (ICM), running horizontal mattress (RHM), and far–near–near–far (FNNF). The different groups were studied in terms of clinical findings, wound and suture biometrics, cosmetic assessment, microscopic examination, and statistical analysis. RHM presented a 'very good' cosmetic grade on a 6-element scale, clinically associated with rapid successful wound healing, and no complications. BCSID was superior in cosmetic terms among the tested groups where it showed an aesthetically 'excellent' score. However, the technique was not efficient enough to prevent wound dehiscence in some cases. ICM demonstrated a 'very good' cosmetic degree but was not functional enough to prevent invasive contamination or infection in certain instances. FNNF was the inferior among all groups in regards to the cosmetic outcomes but was characterized by successful, slowly-progressive healing. Suture-to-wound length (SL: WL) ratio of all groups seemed to have a correlation with the rate of wound dehiscence as wound dehiscence is unlikely to occur if a SL: WL ratio is more than 4:1. The microscopic results proved that the RHM suture pattern was the favourable technique. RHM can be concluded as the suture technique of choice for cutaneous closure of laparotomy wounds in small animals like rabbits. It serves as a compromise of high-quality cosmesis and optimal wound healing. The assessed suture techniques can be graded in a descending order from the superior to the inferior cosmetically as BCSID>RHM>ICM>FNNF, and histopathologically as RHM>FNNF>BCSID>ICM. Clinical trials are needed to be performed to validate and reproduce the outcomes of this study on canine and feline patients.
Moist wound dressing and its application in distant skin flap in cats
Veterinary World, 2021
Background and Aim: Wound healing is a dynamic and complex process that requires an appropriate environment to promote healing process. The healing of distant flaps in cats is determined by vascularization, nutrient sufficiency for the cells, and stability of skin flaps. This study aims to evaluate the healing of distant flaps treated with moist wound dressing through subjective and objective observation in five cats with wounds in the forelimb and hindlimb area to determine the time to cut the skin flaps from the donor site. Materials and Methods: In this study, five Indonesian local cats with wounds of various sizes in the limb were brought to the Veterinary Teaching Hospital. The sterile wound treatment included the administration of anesthesia, wound debridement, and distant flap closure in the thoracic and abdominal area. The distant flap and time to cut the skin flaps from the donor site were evaluated through subjective and objective examinations. Results: The subjective observation on the color of the distant skin flaps showed redness and response to pain on day 3 after surgery, whereas the objective observation, which was based on drug absorption capability and drug effect showed good results. On day 7 after surgery, the skin flaps from the donor site were cut and showed good progress. Conclusion: Overall, moist dressing helps in stabilizing the distant flap, allowing the distant flaps from the donor site to be cut on day 7 after surgery.