Читать книгу Surgery of Exotic Animals - Группа авторов - Страница 65

This chapter emphasizes the need to have an in depth understanding of available suture materials and knowledge of tissues and their healing times in order to select the best suture for each patient and procedure. Articles describing or comparing tissue reactions to suture can aid in selection, but these studies vary in the methods used to evaluate the reaction, time periods that reactions are evaluated, and types and numbers of sutures evaluated with no single standard for grading such evaluations (Sanz et al. 1988). To cause more confusion, similar studies may have varied or contradictory results. Some believe that these types of studies fail to evaluate acute reactions over the first 7–14 days when surgical trauma and inflammation from the surgical procedure nullifies the possible differences in reaction to the suture materials. In many cases (particularly when healing occurs quickly), long‐term results are not clinically relevant (Smit et al. 1991). Further studies evaluating loss in tensile strength and time to complete absorption in exotics species (especially nonmammalian) and studies evaluating healing times of different tissues can help veterinarians determine the optimal suture.