A new absorbable suture

Wiley - Tập 5 Số 2 - Trang 43-58 - 1971
E. J. Frazza1, Emmanuel Schmitt2
1Davis & Geck, Lederle Labs. American Cyanamid Company, Pearl River, New York
2Central Research Division, American Cyanamid Company, Stamford, Connecticut

Tóm tắt

AbstractAlthough satisfactory nonabsorbable sutures made from a variety of synthetic and natural materials have been available for a number of years, since ancient times only collagenous absorbable sutures have found general acceptance. While adequate, catgut and the more recently developed regenerated collagens have inherent disadvantages common to many complex natural substances, particularly variability in composition and properties.A new synthetic absorbable suture has been developed from polyglycolic acid equation image .This material was chosen after testing a wide variety of polymers for the appropriate absorbability behavior in animals and for the required physical and mechanical properties. Polyglycolic acid suitable for this use was most conveniently prepared by the ring opening melt polymerization of glycolide. Development of a reliable process for this commercially unavailable monomer led to the discovery of the existence of two glycolide polymorphs one of which exhibits erratic polymerization behavior after exposure to trace amounts of moisture.Polyglycolic acid was converted into fiber by melt extrusion, stretching, and heat setting. Braided sutures prepared from these fibers exhibit high strength, excellent handling properties, minimal tissue reactivity, and a similar but more reproducible absorption rate than catgut. Clinical studies with these sutures are in progress.

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Tài liệu tham khảo

Goldenberg I. S., 1959, Surg., 46, 908

Takashi M. U. S. Patent 3 371 069 (1968).

10.1126/science.166.3911.1365

Sorenson W. R., 1968, Preparative Methods of Polymer Chemistry

10.1099/00221287-19-1-198

Baptist J. N. U. S. Patent 3 036 959 May 29 1962;

W. R. Grace and Co. British Patent 1 034 123 June 29 1966.

Blumenthal B.andHadenfeldt H. U. S. Patent 2 094 578 October 5 1937;

10.1001/jama.1938.02790530018007

Schmitt E. E.andPolistina R. A. U. S. Patent 3 297 033 January 10 1967.

10.1002/cber.18930260158

10.1021/ja01341a046

E. I. du Pont de Nemours and Co. British Patent 550 837 January 27 1943;

E. M.Filachione U. S. Patent 2 534 255 December 29 1950;

Higgins N. A. U. S. Patent 2 676 945 April 27 1954.

Lowe C. E. U. S. Patent 2 668 162 February 2 1954;

Hirono K., 1964, J. Chem. Soc. Japan, 67, 604

10.1002/macp.1967.021000128

Schmitt E. E. Epstein M.andPolistina R. A. U. S. Patent 3 442 871 May 6 1969.

Chirgwin L. D. U. S. Patent 3 422 181 January 14 1969.

Katz A. R., 1970, Surgery, Gynecology & Obstretics, 131, 701