Suture . It is bringing the edges of a wound closer together, bringing them closer together in order to promote healing, decreasing tissue tension and shortening the process.
Summary
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- 1 History
- 2 Composition
- 3 Suturing Techniques
- 4 Uses of staples
- 5 See also
- 6 Source
History
Although it is considered that they were invented in the 20th century , similar methods existed in antiquity, such as the use of ants and termites , bringing them closer to the edges of the wounds united to bite them, then separating the body to leave the jaws holding those same edges. Acacia thorns were also used for this purpose. In 1908 , Humer Hültl , a surgeon, presented a stapler for stomach surgery at the 2nd Congress of the Hungarian Society for Surgery , which allowed for resection and stapling of the stomach. In 1921von Petz presented at the 8th Congress of that same society an instrument similar to that of his teacher Hültl, of lesser weight, with two lines of stainless steel staples that were loaded manually and advanced step by step, on a rail, controlled by a sort of steering wheel, which when turning was stapling the surgical piece in a double row.
Composition
The staples are made of steel or titanium , materials that hardly cause allergies, and greatly facilitate the suturing or anastomosis process (joining two cut ends, such as when a piece of intestine is cut and the cut ends are “spliced”) in difficult places such as the stomach where the suture would be a complicated task, or areas whose skin is very tight or subject to continuous stretching, such as the back or hip , for example, thus making comfortable, fast and safe sutures. Thanks to the staples, it takes less time to close once the surgical procedure has been completed, because the suture with thread and needle is more laborious and slower, so that the muscles(deeper planes of the wound) are sutured with absorbable thread and the skin (superficial plane) is sutured with staples, speeding up the process. In addition, a more aesthetic scar is usually achieved in large wounds than if it were done with thread , and those wounds closed with staples acquire resistance to traction before those closed by other methods. Once the edges of the wound are glued together and without risk of reopening, the staples are removed and allowed to finish healing.
Suturing Techniques
There are various techniques for suturing: with thread and needle, which we could call the traditional technique, with adhesive glue, and with staples .
Uses of staples
Staples are widely used in Surgery, especially in abdominal surgery , called mechanical sutures.
