Suture selection criteria and alternative methods for wound closure in companion animal surgery

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Published: Dec 18, 2017
DOI: https://doi.org/10.12681/jhvms.15479
Keywords:
staplers surgical mesh suture selection tissue adhesives
E. TZIMTZIMIS (Ε. ΤΖΙΜΤΖΙΜΗΣ)
Clinic of Companion Animals, School of Veterinary Medicine, Aristotle University of Thessaloniki
L. PAPAZOGLOU (Λ. ΠΑΠΑΖΟΓΛΟΥ)
Clinic of Companion Animals, School of Veterinary Medicine, Aristotle University of Thessaloniki
Abstract

Selection of appropriate suture material is important for successful healing; it is based principally on the properties
of suture, the type of the tissue to be sutured and the condition of the wound. The mechanical and biological properties
of a suture and the suture’s size should correlate well to type and properties of the tissue to be sutured. Strategy of suture
selection for specific tissues is discussed. Presence of sutures in a wound can increase the rate of infection of the wound. The
severity of the infection is related to the suture’s properties when the wound is clean. Closure of infected wounds should be
avoided. Stapling is an alternative method for wound closure and offers a significant reduction in the operative time. Various
types of staplers are available, depending on type of the tissue and the surgical procedure. Skin staples are widely used
in the skin and other tissues. The use of vascular clips is an alternative way to ligate blood vessels. Tissue adhesives are
materials that can also be used in closure of specific types of wounds. Surgical mesh is useful for closure of large defects.

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References
Bellenger CR (1982b) Sutures part II. The use of sutures and alternative methods of closure. Comp Cont Educ Pract 4:587-598.
Blackford LAW, Blackford JT (1999) Suture materials and patterns. In: (eds: Auer JA, Stick JA) Equine Surgery, 2nd edn. Saunders, Philadelphia, pp. 91-103.
Boothe HW (1998) Selecting suture materials for small animal surgery. Comp Cont Educ Pract 20:155-163.
Boothe HW (2003) Suture materials, tissue adhesives, staplers, and ligating clips. In: (ed.: Slatter D) Textbook of Small Animal Surgery, 3rd edn. Saunders, Philadelphia, pp. 235-245.
Coolman BR (2004) Sutures, staples, and adhesives. In: (ed.: Harari J) Small Animal Surgery Secrets, 2nd edn. Hanley & Belfus, Philadelphia, pp. 41-45.
Court MH, Bellenger CR (1989) Comparison of adhesive polyurethane membrane and polypropylene sutures for closure of skin incisions in cats. Vet Surg 18:211-215.
Crowe DT (2003) DVM Newsmagazine, http://veterinarynews.dvm360.com.
England G (2001) Genital surgery in the bitch and queen cat. In: (eds: Noakes DE, Parkinson TJ, England GCW) Arthur’s Veterinary Reproduction and Obstetrics, 8th edn. Saunders, Philadelphia, pp. 367-380.
Fahie MA (2012) Primary wound closure. In: (eds.: Tobias KM, Johnston SA) Veterinary Surgery: Small Animals, Saunders, St. Louis, pp. 1197-1209.
Fossum TW (2007) Biomaterials, suturing, and hemostasis. In: (ed.: Fossum TW) Small Animal Surgery, 3rd edn. Mosby, St. Louis, pp. 57-78.
Freeman LJ, Pettit GD, Robinette JD, Lincoln JD, Person MW (1987) Tissue reaction to suture material in the feline linea alba. A retrospective, prospective and histologic study. Vet Surg 16:440-445.
Freudenberg S, Rewerk S, Kaess M, Weiss C, Dorn-Beinecke A, Post S (2004) Biodegradation of absorbable sutures in body fluids and pH buffers. Eur Surg Res 36:376-385.
Hochberg J, Meyer KM, Marion MD (2009) Suture choice and other methods of skin closure. Surg Clin N Am 89:627-641.
Jens B, Bjorling DE (2001) Suture selection for lower urinary tract surgery in small animals. Comp Cont Educ Pract 23:524-528.
Katz S, Izhar M, Mirelman D (1981) Bacterial adherence to surgical sutures. Ann Surg 194:35-41.
Kladakis S, Kiriazis A (2012) Sutures and staples in small animal surgery. Selection criteria. Proceedings of 3rd Forum on Companion Animal Veterinary Medicine (Athens, Greece) pp. 257-258.
Kustritz MR (2010) Canine techniques. In: (ed: Kustritz MR) Clinical Canine and Feline Reproduction, Wiley- Blackwell, Ames, pp. 63-65.
Linos D (1990) Surgical sutures and other prosthetic materials. Proceedings of 1st Panhellenic Training Seminar in Surgery
(Athens, Greece) pp. 75-78.
Milovancev M, Weisman DL, Palmisano MP (2004) Foreign body attachment to polypropylene suture material extruded into the small intestinal lumen after enteric closure in three dogs. J Am Vet Med Assoc 225:1713-1715.
Monnet E (2002) DVM Newsmagazine, http://veterinarynews. dvm360.com.
Neath P (2005) Equipment and surgical instrumentation. In: (ed.: Williams JA, Niles JD) BSAVA Manual of Canine and
Feline Abdominal Surgery, British Small Animal Veterinary Association, Gloucester, pp. 23-27.
Niles J, Williams J (1999) Suture materials and patterns. In Pract 21:308-320.
Papazoglou LG, Tsioli V, Papaioannou N, Georgiadis M, Savvas I, Prassinos N, Kouti V, Bikiaris D, Hadzigiannakis C, Zavros N
(2010) Comparison of absorbable and nonabsorbable sutures for intradermal skin closure in cats. Can Vet J 51:770-772.
Park W, Kim WH, Lee CH, Kim DY, Choi JH, Huh JW, Sung HM, Kim IS, Kweon OK (2002) Comparison of two fibrin glues in
anastomoses and skin closure. J Vet Med A 49:385-389.
Pavletic MM (1990) Surgical stapling devices in small animal surgery. Comp Cont Educ Pract 12:1724-1740.
Runk A, Allen SW, Mahaffey EA (1999) Tissue reactivity to poliglecaprone 25 in the feline linea alba. Vet Surg 28: 466-471.
Schmiedt CW (2012) Suture material, tissue staplers, ligation devices, and closure methods. In: (eds.: Tobias KM, Johnston SA) Veterinary Surgery: Small Animals, Saunders, St. Louis, pp. 187-200.
Schmiedt CW, Creevy KE (2012) Nasal planum, nasal cavity and sinuses. In: (eds.: Tobias KM, Johnston SA) Veterinary Surgery: Small Animals, Saunders, St. Louis, pp. 1691-1706.
Smeak DD, Wendelburg KL (1989) Choosing suture materials for use in contaminated or infected wounds. Comp Cont Educ Pract 11:467-475.
Smeak DD, Crocker C (1997) Fixed-head skin staplers: features and performance. Comp Cont Educ Pract 19:1358-1368.
Smeak DD (1998) Selection and use of currently available suture materials and needles. In: (eds: Bojrab MJ) Current Techniques in Small Animal Surgery, 4th edn. Williams & Wilkins, Baltimore, pp. 19-26.
Stoloff DR (1991) Selecting suture materials. Vet Med Rep 3:53-58.
Sura PA, Durant AM (2012) Trachea and bronchi. In: (eds.: Tobias KM, Johnston SA) Veterinary Surgery: Small Animals, Saunders, St. Louis, pp. 1734-1751.
Tan R, Bell RJW, Dowling BA, Dart AJ (2003) Suture materials: composition and applications in veterinary wound repair. Aust Vet J 81:140-145.
Tobias KM (2007) Surgical stapling devices in veterinary medicine: a review. Vet Surg 36: 341-349.
Trostle SS, Rosin E (1994) Selection of prosthetic mesh implants. Comp Cont Educ Pract 16: 1147-1154.
Tzimtzimis E, Papazoglou L (2012) Properties of sutures used in veterinary surgery. J Hell Vet Med Soc 63:309-322.
Waldron DR (1994) Skin and fascia staple closure. Vet Clin N Am- Small 24: 413-423.
Winkle VW, Hastings JC, Barker E, Hines D, Nichols W (1975) Effect of suture materials on healing skin wounds. Surg Gynecol Obstet 140:7-12.
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