Читать книгу Complications in Equine Surgery - Группа авторов - Страница 143
Prevention
ОглавлениеAppropriate surgical knowledge and technique for the given suture(s) location is crucial in limiting the occurrence of tissue reactions to sutures. Physical and biological characteristics of suture materials should be considered when selecting a suture material and size [5, 9]. Even the least reactive suture materials act as foreign material, thus minimizing the amount of suture material within the tissues without compromising the closure should be the objective in incisional closures [9]. Therefore, decreasing the amount of suture material within the tissues is achieved by minimizing the number of sutures, using the smallest adequate suture size, having the fewest number of knots achievable, keeping the number of throws in a knot to a minimum, avoiding a surgeon's throw when possible, and not having excessively long suture tails [3, 9, 23]. Suture absorption time and the gain in wound strength of the sutured tissues over time should coincide [2, 3]. Monofilament suture material is recommended instead of multifilament if the circumstances allow [23].