【临床应用——缝合材料】。

A Thiede, U Dietz, S Debus
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引用次数: 0

摘要

手术缝线的选择应取决于所手术的组织,并以其化学成分的主要特性为导向。合成可吸收缝线材料在大多数手术中是首选,以防止异物反应的形成,但遭受持续机械应力的部位除外,例如疝气、骨科和血管手术。由于单丝缝合线比多丝缝合线造成的组织损伤和丝间细菌运输更小,因此单丝缝合线比多丝缝合线更好。然而,由于其特殊的处理和打结特性,与多丝菌株相比,打结单丝缝合线需要额外的技能。
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[Clinical application--suture materials].

The surgical suture should be chosen in dependence of the tissue being operated upon and be oriented on the main properties of its chemical composition. Synthetic absorbable suture materials are the first choice in the majority of the procedures, to prevent the formation of foreign body reaction--excepting sites subjected to continuous mechanical stress, for example hernias, orthopedic and vascular surgery. By causing lesser tissue damage and interfilament bacterial transport, monofilament sutures are preferable than multifilament ones. However, knotting monofilament sutures requires additional skills in comparison to multifilament strains, due to their special handling an knotting properties.

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[120th Congress of the German Surgical Society. 29 April-2 May 2003, Munich, Germany. Abstracts]. [Clinical application--suture materials]. [Inguinal hernia: TAPP--future standard?]. [Preservation of the recurrent laryngeal nerve]. [Surgery of euthyroid nodular goiter: special considerations in surgery of recurrent struma].
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