Journal of Textile Research ›› 2021, Vol. 42 ›› Issue (05): 178-184.doi: 10.13475/j.fzxb.20200501408

• Comprehensive Review • Previous Articles     Next Articles

Research progress of medical barbed sutures

SU Mengru1, ZOU Ting1,2, CHEN Qichao3, LI Chaojing1,2, WANG Fujun1,2,4(), WANG Lu1,2   

  1. 1. College of Textiles, Donghua University, Shanghai 201620, China
    2. Key Laboratory of Textile Science & Technology, Ministry of Education, Donghua University, Shanghai 201620, China
    3. Shanghai Bangyun Medical Technology Co., Ltd., Shanghai 200120, China
    4. Engineering Research Center of Technical Textile, Ministry of Education, Donghua University, Shanghai 201620, China
  • Received:2020-05-08 Revised:2021-01-04 Online:2021-05-15 Published:2021-05-20
  • Contact: WANG Fujun E-mail:wfj@dhu.edu.cn

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Abstract:

In order to further study the barbed suture and promote the development of better products, the research status of barbed sutures at home and abroad was reviewed. This paper traces the development history of the barbed sutures and summarises the performance requirements in clinicians' practice based on the art-of-the-state. Detailed analyses were carried out on the materials used for the barbed sutures, the geometry and arrangement of the barb, the structure of the blocked element, and related new research progress for the sutures. Four types of preparation methods for the barbed sutures are reviewed, including mechanical cutting, laser cutting, mold injection, and external fixed barbs. The application and clinical results of the barbed sutures in plastic surgery, orthopedics, urology, gastroenterology, obstetrics-gynecology and other surgical operations are summarized. Clinical complications of barbed sutures with excellent properties are also examined, the development directions of the barbed sutures in materials, preparation and properties are pointed out for future work.

Key words: barbed sutures, barb structure design, biodegradable polymer, barb, medical textiles

CLC Number: 

  • TS102.5

Tab.1

Property requirements of barbed suture"

性能 要求
生物相容性 与机体组织相适应
生物可降解和生物可吸收 某些特殊手术部位避免二次手术拆除
结构稳定性 在预期时间内发挥作用
锚定性 防止在组织中滑脱
物理力学性能 避免在手术中于机体内因受力而断裂

Fig.1

Geometry of single barb on monofilament suture"

Fig.2

Different arrangement directions of barbs on suture. (a)Unidirectional barbed suture;(b)Bidirectional barbed suture"

Fig.3

Diagram of blocked loop element"

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