Email this article Effect of electrosurgical energy on suture material. An experimental study
- Authors: Bezhenar V.F.1, Kuzmina N.S.1, Palastin P.M.1, Ivanov O.A.1
-
Affiliations:
- Academician I.P. Pavlov First St. Petersburg State Medical University
- Issue: Vol 71, No 5 (2022)
- Pages: 5-12
- Section: Original study articles
- URL: https://bakhtiniada.ru/jowd/article/view/125967
- DOI: https://doi.org/10.17816/JOWD100264
- ID: 125967
Cite item
Open Access
Access granted
Subscription Access
Abstract
BACKGROUND: The instructions for use of the suture material or coagulation tool do not describe the changes that may occur when they interact. A review of the literature found a small number of publications on changes in the physical properties of the suture material when exposed to chemical and mechanical factors. However, this is not enough to predict the effects of energy on the suture material and, as a result, on wound healing or the quality of the postoperative scar.
AIM: To determine and measure the effect of the energy used for coagulation on the strength of the suture material.
MATERIALS AND METHODS: In the experimental research, data on changes in the strength of 20 different filaments after exposure to the energy used for coagulation were analyzed in comparison with control samples.
RESULTS: Research resulted in obtaining both expected or predicted indicators of changes in the strength of threads, and vice versa, absolutely unexpected results, which only confirms the significance of the research. Most of the filaments have lost their original strength after exposure to energy. However, some threads have become, on the contrary, stronger, despite the apparent destructive effect.
CONCLUSIONS: The coagulation energy used in the ligature field changes the physical properties of the filaments. Therefore, in some cases it is worth abandoning the use of a certain type of energy and using another well-known method of hemostasis.
Full Text
##article.viewOnOriginalSite##About the authors
Vitaly F. Bezhenar
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929
SPIN-code: 8626-7555
Scopus Author ID: 57191963583
ResearcherId: R-7055-2017
MD, Dr. Sci. (Med.), Professor
Russian Federation, Saint PetersburgNatalya S. Kuzmina
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: kuzmina@mail.ru
ORCID iD: 0000-0001-5759-4530
SPIN-code: 9944-6108
MD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgPyotr M. Palastin
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: palastin.petr@mail.ru
ORCID iD: 0000-0003-3502-2499
SPIN-code: 8008-8723
MD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgOleg A. Ivanov
Academician I.P. Pavlov First St. Petersburg State Medical University
Author for correspondence.
Email: ivanoffmd@gmail.com
ORCID iD: 0000-0002-6596-4105
SPIN-code: 8620-9749
Russian Federation, St. Petersburg
References
- Ailamazyan ЕК. Cesarean section: common problems and regional peculiarities. Journal of Obstetrics and Women’s Diseases. 2005;54(4):3−10. (In Russ.). doi: 10.17816/JOWD83551
- Bezhenar VF, Tsypurdeeva AA, Dolinskiy AK, et al. The experience of a standarbized technique of laparoscopic myomectomy. Journal of Obstetrics and Women’s Diseases. 2012;61(4):23−32. (In Russ.). doi: 10.17816/JOWD61423-32
- Aryutin DG, Vaganov EF, Belousova AA, et al. Endoscopic lateral fixation using a T-shaped mesh implant is an effective way to correct apical prolapse of the genitals. Obstetrics and gynecology. 2018;(2):120−125. (In Russ.). doi: 10.18565/aig.2018.2.120-125
- Vanin A. Quaterly overview of the medical device market: current state and prospects of development of the russian suture filament market. Remedium. 2019;(6):51−56. (In Russ.). doi: 10.21518/1561-5936-2019-6-51-56
- Alsarhan M, Alnofaie H, Ateeq R, Almahdy A. The effect of chlorhexidine and listerine® mouthwashes on the tensile strength of selected absorbable sutures: An In Vitro study. Biomed Res Int. 2018;2018:8531706. doi: 10.1155/2018/8531706
- Bariol SV, Stewart GD, Tolley DA. Laparoscopic suturing: effect of instrument handling on suture strength. J Endourol. 2005;19(9):1127−1133. doi: 10.1089/end.2005.19.1127
- Lee KH, Chu CC. The role of superoxide ions in the degradation of synthetic absorbable sutures. J Biomed Mater Res. 2000;49(1):25−35. doi: 10.1002/(sici)1097-4636(200001)49:1<25::aid-jbm4>3.0.co;2-i
- Shchukina NA, Blagina EI, Barinova IV. Causes of ineffecient uterine scarring after caesarean section and methods of its prevention. Almanac of Clinical Medicine. 2015;(37):85−92. (In Russ.). doi: 10.18786/2072-0505-2015-37-85-92
- Plekhanov AN, Bezhenar VF, Epifanova TA, Bezhenar FV. Comparative characteristics of hemostasis during vaginal hysterectomy. Kuban Scientific Medical Bulletin. 2019;26(6):61−69. (In Russ.). doi: 10.25207/1608-6228-2019-26-6-61-69
- Parker WH, Einarsson J, Istre O, Dubuisson JB. Risk factors for uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 2010;17(5):551−554. doi: 10.1016/j.jmig.2010.04.015
- Ostromensky VV, Borisov AV, Glukhov EYu, et al. The state of the uterine scar after argonoplasmic coagulation (experimental study). Tauride medico-biological bulletin. 2017;20(2,2):80−87. (In Russ.)
- Gasparov AS, Burlev VA, Dubinskaia ED, Dorfman MF. Efficiency of using argon plasma coagulation in obstetric and gynecological care. Russian Bulletin of Obstetrician-Gynecologist. 2011;11(2):33−36. (In Russ.)
Supplementary files
