Method for joining soft tissues with autogenic suture material

Authors

  • D. V. Maksymchuk P. L. Shupyk National University of Health of Ukraine
  • S. H. Gychka O. Bohomolets National Medical University
  • V. I. Mamchych P. L. Shupyk National University of Health of Ukraine
  • V. D. Maksymchuk Chornobayev Multidisciplinary Hospital of Chornobayev District Council

DOI:

https://doi.org/10.11603/2414-4533.2021.3.12334

Keywords:

suture material, surgical sutures, biocompatibility, surgical intervention, tissue connections

Abstract

The aim of the work: to develop a method of manufacturing autogenous sutures as a suture material and a method of connecting soft tissues, in order to prevent the development of immune and inflammatory processes in the tissue around the applied surgical sutures, which provides complete resorption of autogenous fibrous sutures, and improve the healing results of surgical wounds by primary tension, without subsequent removal of suture material.

Materials and Methods. The study included 56 patients who underwent soft tissue connections with surgical suture material. Patients, depending on the use of suture material were divided into 2 groups. The first control group consisted of 28 patients who underwent soft tissue joining with "traditional" surgical suture material. The second main group consisted of 28 patients who underwent soft tissue joining with autogenous surgical suture material. All patients with signs of gastrointestinal bleeding were examined according to clinical protocols. Collection and use of own autogenous suture material in 28 patients operated for various planned and urgent surgical diseases of the abdominal cavity (abdominal hernias, acute and chronic cholecystitis, perforated gastric and duodenal ulcers, intestinal obstruction, abdominal trauma, abdominal injuries).

Results and Discussion. In the control group of patients complications of ligature fistula were detected in 3 (10.7±0.6) % cases, ligature abscess in 5 (17.8±0.7) % cases, perifocal granuloma in 4 (14.3±0.7) % cases, perifocal inflammation was manifested in all 28 cases, which amounted to (100.0±0.0) %, allergic reactions occurred in 2 patients (7.1±0.5) %. In the main group of patients complications in the form of a ligature abscess were detected only in 1 case, which amounted to (3.7±0.4) %. A total of 28 (100 %) operated patients in this group had complications in 1 patient, which was only (3.7±0.4) % of complications. In both groups of complications ligature fistula was detected in 3 (5.4±0.30) % cases, ligature abscess in 6 (10.7±0.4) % cases, perifocal granuloma in 4 (7.1±0.3) % ) cases, perifocal inflammation 28 (100.0±0.0) %, allergic reactions 2 (3.6±0.2) %. Almost all types of complications occurred in the control group, which was (53.6±0.9) % and only 1.7 % of complications occurred in the main group.

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Published

2021-12-03

How to Cite

Maksymchuk, D. V., Gychka, S. H., Mamchych, V. I., & Maksymchuk, V. D. (2021). Method for joining soft tissues with autogenic suture material . Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 62–70. https://doi.org/10.11603/2414-4533.2021.3.12334

Issue

No. 3 (2021)

Section

EXPERIENCE OF WORK

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