Abstract:

OBJECTIVE: To summarize the application progress of absorbable sutures in obstetrics and gynecology treatment in recent years.
METHODS: A computer research of VIP database from January 1998 to October 2009 was performed for articles about the absorbable suture in treatment of obstetrics and gynecology department, using the key words of “bio-absorbable suture; Department of Obstetrics and Gynecology; application” in Chinese. Inclusion criteria: ① Articles correlate with biological absorbable sutures in treatment of obstetrics and gynecology. ② The results described the application of materials. Exclusion criteria: repeated studies or outdated literatures. According to the inclusion and exclusion criteria, 23 literatures were involved in the analysis.
RESULTS: The absorbable suture includes natural and synthetic polymer materials, such as chorda chirurgicalis, natural silk, polylactic acid and polyglycolic acid, absorbable suture is mainly used for human internal tissue suture, can be absorbed by human body within certain period of time, avoiding dermal sutures removal. Such suture is predominant by DEXOU (PGA), which has strong tensile strength, good operational performance, material homogeneity and stability, has no toxicity, collagen, antigenicity or carcinogenicity, and exhibits strong anti-acid and anti-infection effect, ultimately can be hydrolyzed and absorbed, it is the optimal material for surgical suture in obstetrics and gynecology department. It solves the low tensile strength and high tissue response of chorda chirurgicalis, and will eventually replace natural silk and chorda chirurgicalis, to become the ideal surgical suture in obstetrics and gynecology department.
CONCLUSION: The medical suture made of natural and synthetic polymer materials generally meet the surgical requirements, the doctors may choose the materials according to different characteristics and clinical experience.