2013年6月20日星期四

Surgical suture line of the history and development

Absorbability is extended over time can be the body degradation ability. Therefore, can be dividing into absorbable suture surgical sutures and cannot absorb the surgical sutures. Absorbable sutures are commonly used to refer to at 60 days in the human body lost to most of the tensile strength of the surgical sutures. Surgical suture absorption is through the organization's response to surgical sutures. Need to bury the body, the wound is deep within the surgical suture line generally choose line can be absorbed, whereas an absorption line used to suture the wound outer and will eventually be removed. In rare cases, if you want to in deep tissue to maintain a long time when the tensile strength, can also use an absorption line
Thousands of years, different materials of surgical suture materials are used, debate, but generally stays the same. Needle is made of bone or metal (such as silver, copper, aluminum bronze wire). Plants are the surgical suture materials (linen, hemp and cotton) or animal material, hair, tendons, arteries and muscles or nerves, silk, gut). African culture used in the thorns, and other places some use ant to suture, which lure insect biting the wound on both sides, and twist under their heads.
Surgical suture of the earliest records can be traced back to 3000 BC in ancient Egypt, and the oldest known suture is the mummy in 1100 BC. For wound closure first detailed written records and the use of suture material from India in 500 BC Sue professional such as tower of saint and physicians. "The father of medicine Hippocrates Greek and later Roman senator Ruth, Cornelius celsus, describes the basic technique of suture. First described the gut suture is 2nd century Roman physician galen, [1], some people think that is also the 10th century of Andalusia surgeon kill Hera. According to the record, the strings of a slaughtered Hera wei lute was a monkey to swallow, he discovered the nature of the gut can absorb. Since then began to manufacture medical gut.
Joseph lister introduced the technique of suture of the huge change, he advocated sutures for regular disinfection of all. In the 1860 s, he first tried to "carbolic acid gut" sterilization, disinfection for chromic gut again twenty years later. In 1906, made the sterile gut treated with iodine.
The next great leap forward happened in 20th century. Along with the development of chemical industry, made the first synthetic thread in the 1930 s, many of the absorption and the absorbent composite line rapidly developed. The first synthetic thread made from poly (vinyl alcohol) in 1931. S developed polyester line, later developed for the gut and polyester radiation sterilization. Found polyglycolic acid in the '60 s, 70 s it was used in manufacturing of surgical sutures. [1] now, most of the surgical suture line is made of polymer fiber. Only silk and gut in ancient material still in use - though not often. In Europe and Japan, gut was banned for bovine spongiform encephalopathy, and silk are sometimes used for vascular surgery and otolaryngology.
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