There are several different suture materials used in precise and safe wound closure. Preferably, the selection of the suture material should be based on the organic interaction of the materials employed, the tissue configuration, and the biomechanical properties of the wound. An example of a suture which you can use in these mersilene polyester fiber suture instances is Ethibond suture. It belongs to the class of non absorbable sutures. It is a polyester suture that is composed of fibers of polyethylene terephthalate, which is a unnatural linear polyester resulting when glycol is reacted with a dibasic acid. The polyesters are long chains with a high molecular weight and savoury rings that recur again and again as a vital perhaps the compound. Examples of polyester sutures include Surgidac, TiCron that is generated by Syneture Covidien and Ethibond Shine in life and Ethibond, that is generated by Ethicon.
These polyester sutures were the first man-made braided suture material made known to last for an indefinite period in flesh. Their acceptance in surgery was minimal to a small section in the beginning because the suture had a high coefficient of chaffing. This used to get in the form of the passage through tissue and hampered the construction of a knot. However, with the increase in scientific technology, it was soon learned that these sutures could be protected with a lubricant. Thus, Ethibond sutures gained wide acceptance in surgery. This coating markedly reduced the suture’s coefficient of chaffing, thereby assisting in knot construction and passage through tissue. All TiCron polyester sutures are protected with silicone, while the surface lubricant for Surgidac is Polybutylene adipate. Due to some operating doctors liking to tie sutures with a high coefficient of chaffing, Surgidac sutures are also obtainable without a surface coating.
Ethibond Shine in life sutures are uniformly protected with polybutilate, a biologically non reactive and non absorbable compound that hooks up itself to the braided polyester fiber strand. This is the first unnatural coating developed specifically as a surgical suture lubricant. The coating eases the passage of the braided strands through tissue and excellent pliability, handling qualities, and smooth tie down with each throw of the knot. The suture material and the coating are pharmacologically inactive. The sutures draw out negligible tissue reaction and retain their tensile strength in vivo for long periods of time. No significant change is known to occur in vivo. Ethibond Shine in life sutures are used primarily in cardiovascular surgery, for vessel anastomosis, and placement of prosthetic materials. Anastomosis is the joining together of two bodily organs or ships that are usually useless, this is why any preferred model of polyester suture will work beautifully in valve replacement procedures in the world.
Ethibond Shine in life is available in two forms, green when dyed and white when not dyed. Ethibond Shine in life sutures are also available attached to TFE polymer felt pledgets. These are small flat absorbent pads used to medicate, strain, save a wound from harm or serve to put off possible tearing of adjacent friable tissue. They are used on a regular basis in valve replacement procedures. This is to prevent the annulus from tearing when the prosthetic valve is seated and the sutures are tied. They are also used in situations where extreme deformity, distortion, or tissue deterioration occurred.