Abstract
Surgical sutures are considered to be a medical device for wound closure in healthcare applications. Surgical sutures maybe cause natural body response and form inflammation at the wound site of skin or organs after surgery, which play a negative role on wound healing. Within this context, it is necessary to develop antimicrobial surgical sutures with infection prevention and wound healing which can effectively inhibit the bacterial multiplication and improve healing rate. Currently, function agents made from natural or synthetic are being loaded in suture devices by various technique (such as coating, melt spinning, wet-spinning, grafting, electrospinning and blending) to produce antimicrobial surgical sutures. However, the properties of suture material determine the different modification technique. In this Review, we elaborate the preparation of antimicrobial surgical sutures for infection prevention and wound healing. Currently, most of antimicrobial surgical sutures still at researching and developing stage and few applied in clinically trials. Therefore, it is necessary to develop better antimicrobial sutures for preventing wound infection and promoting wound healing. The antimicrobial surgical sutures as a medical device will play a crucial role in the field of the anti-inflammatory and wound healing which mainly attribute to its unique properties, such as good biocompatibility, excellent antimicrobial, effective drug carrier, and amenability to various materials-design and manufacturing requires.
Similar content being viewed by others
References
L. Lytvyn, K. Quach, L. Banfield, B. C. Johnston, and D. Mertz, J. Hosp. Infect., 92, 130 (2016).
A. Petrica, C. Brinzeu, A. Brinzeu, R. Petrica, and M. Ionac, J. Clin. Orthod., 22, 498 (2009).
D. J. Anderson, Aorn J., 99, 315 (2014).
S. Neethirajan, M. A. Clond, and A. Vogt, J. Biomed. Nanotechnol., 10, 2806 (2014).
R. O. Darouiche, I. I. Raad, S. O. Heard, J. I. Thornby, O. C. Wenker, A. Gabrielli, J. Berg, N. Khardori, H. Hanna, R. Hachem, R. L. Harris, and G. Mayhall, N. Engl. J. Med., 340, 1 (1999).
L. A. Mermel, Ann. Int. Med., 132, 391 (2000).
P. Priyanka, W. Hsueh, and J. Nasr, Case Reports in Gastrointestinal Medicine, 2019, 7656950 (2019).
F. Marco, R. Vallez, P. Gonzalez, L. Ortega, J. D. L. Lama, and L. Lopez-Duran, Surg. Infect., 8, 359 (2007).
F. Stefan, S. H. Kathrin, G. Leticia, and A. J. Bircher, Contact Dermat., 79, 91 (2018).
G. H. V. Lenthe, H. Hagenmüller, M. Bohner, S. J. Hollister, L. Meinel, and R. Müller, Biomaterials, 28, 2479 (2007).
D. C. Vinh and J. M. Embil, J. Long-term Eff. Med. Implants, 15, 467 (2005).
V. Palmieri, M. Papi, C. Conti, G. Ciasca, G. Maulucci, and M. De Spirito, Expert Rev. Med. Devices, 13, 1013 (2016).
I. García-Arnáez, B. Palla, J. Suay, F. Romero-Gavilán, L. García-Fernández, M. Fernández, I. Goñi, and M. Gurruchaga, Eur. Polym. J., 113, 289 (2019).
E. Sharifisamani, F. Mousazadegan, R. Bagherzadeh, and M. Latifi, Polym. Eng. Sci., 60, 1520 (2020).
J. Mccagherty, D. A. Yool, G. K. Paterson, S. R. Mitchell, and T. J. Nuttall, Am. J. Vet. Res., 81, 84 (2020).
A. R. Franco, E. M. Fernandes, M. T. Rodrigues, F. J. Rodrigues, M. E. Gomes, I. B. Leonor, D. L. Kaplan, and R. L. Reis, Acta Biomater, 99, 236 (2019).
S. Anjum, A. Gupta, S. Kumari, and B. Gupta, Int. J. Polym. Mater. Polym. Biomater., 69, 1034 (2019).
F. Chapman and C. Park, North Am. J. Aquac., 67, 98 (2005).
N. Marsidi, S. A. M. Vermeulen, T. Horeman, and R. E. Genders, J. Surg. Res., 255, 135 (2020).
M. Byrne and A. Aly, Aesthet. Surg. J., 39, 67 (2019).
A. Raut, Urol. Ann., 11, 87 (2019).
L. B. Lewis, D. K. Brown, E. K. Edmiston, T. P. Johnson, M. P. Goheen, G. Seabrook, B. Towne, and C. J. Krepel, J. Am. Coll. Surgeons, 203, 481 (2006).
T. Baygar, N. Sarac, A. Ugur, and I. R. Karaca, Bioorganic Chemistry, 86, 254 (2019).
S. Carella, P. Fioramonti, M. G. Onesti, and N. Scuderi, Eur. Rev. Med. Pharmacol. Sci., 23, 958 (2019).
M. Dragovic, M. Pejovic, J. Stepic, S. Colic, B. Dozic, S. Dragovic, M. Lazarevic, N. Nikolic, J. Milasin, and B. Milicic, Clin. Oral. Investig., 24, 1527 (2020).
U. K. Ercan, F. Ibis, C. Dikyol, N. Horzum, O. Karaman, C. Yildirim, E. Cukur, and E. A. Demirci, PLoS One, 13, e0202703 (2018).
W. K. Chang, S. Srinivasa, R. Morton, and A. G. Hill, Annals of Surgery, 255, 854 (2012).
S. Matalon, A. Kozlovsky, A. Kfir, S. Levartovsky, Y. Mazor, and H. Slutzky, J. Craniomaxillofacial Surg., 41, 593 (2013).
G. Banche, J. Roana, N. Mandras, M. Amasio, C. Gallesio, V. Allizond, A. Angeretti, V. Tullio, and A. M. Cuffini, J. Oral Maxillofac. Surg., 65, 1503 (2007).
V. Puca, T. Traini, S. Guarnieri, S. Carradori, F. Sisto, N. Macchione, R. Muraro, G. Mincione, and R. Grande, Molecules, 24, 2280 (2019).
C. C. Chu and D. F. Williams, Am. J. Surg., 147, 197 (1984).
B. D. Masini, D. J. Stinner, S. M. Waterman, and J. C. Wenke, J. Surg. Ed., 68, 101 (2011).
M. Parirokh, S. Asgary, M. J. Eghbal, S. Stowe, and S. Kakoei, Int. Endod. J., 37, 776 (2004).
J. Dhom, D. A. Bloes, A. Peschel, and U. K. Hofmann, J. Orthop. Res., 35, 925 (2017).
J. W. Alexander, J. S. Solomkin, and M. J. Edwards, Annals of Surgery, 253, 1082 (2011).
S. D. Elek and P. E. Conen, Br. J. Exp. Pathol., 38, 573 (1957).
S. Sunitha, K. Adinarayana, T. Pankaj, R. P. Sravanthi, G. Sonia, R. Nagarjun, S. C. Veerabhadra, and D. Sujatha, Pharmaceutica Analytica Acta, 08, 1000529 (2017).
C. Justinger, J. Schuld, J. Sperling, O. Kollmar, S. Richter, and M. K. Schilling, Langenbecks Arch Surg, 396, 845 (2011).
T. Fleck, R. Moidl, A. Blacky, M. Fleck, E. Wolner, M. Grabenwoger, and W. Wisser, Ann. Thorac. Surg., 84, 232 (2007).
A. E. Deliaert, E. Van den Kerckhove, S. Tuinder, S. Fieuws, J. H. Sawor, M. A. Meesters-Caberg, and R. R. van der Hulst, J. Plast. Reconstr. Aesthet. Surg., 62, 771 (2009).
A. Obermeier, J. Schneider, S. Wehner, F. D. Matl, M. Schieker M, R. von Eisenhart-Rothe, A. Stemberger, and R. Burgkart, PLoS One, 9, 101426 (2014).
S. Pethile, X. J. Chen, D. D. Hou, and L. Wang, Fiber. Polym., 15, 1589 (2014).
P. Janiga, B. Elayarajah, R. Rajendran, R. Rammohan, B. Venkatrajah, and S. Asa, J. Ind. Text., 42, 176 (2011).
S. Viju and G. Thilagavathi, J. Text. Inst., 104, 289 (2013).
S. Viju and G. Thilagavathi, J. Ind. Text., 42, 256 (2013).
G. F. Cao, Y. Sun, J. G. Chen, L. P. Song, J. Q. Jiang, Z. T. Liu, and Z. W. Liu, Appl. Clay Sci., 93–94, 102 (2014).
F. López-Saucedo, G. G. Flores-Rojas, J. López-Saucedo, B. Magariños, C. Alvarez-Lorenzo, A. Concheiro, and E. Bucio, Eur. Polym. J., 100, 290 (2018).
Y. Li, K. N. Kumar, J. M. Dabkowski, M. Corrigan, R. W. Scott, K. Nüsslein, and G. N. Tew, Langmuir, 28, 12134 (2012).
S. Forbes, A. J. Mcbain, S. Felton-Smith, T. A. Jowitt, H. L. Birchenough, and C. B. Dobson, Biomaterials, 34, 5453 (2013).
H. S. Lee, S. H. Park, J. H. Lee, B. Y. Jeong, S. K. Ahn, Y. M. Choi, D. J. Choi, and J. H. Chang, Mater. Lett., 95, 40 (2013).
S. Anjum, A. Gupta, D. Sharma, S. Kumari, P. Sahariah, J. Bora, S. Bhan, and B. Gupta, J. Bioact. Compat. Polym., 32, 263 (2016).
Y. Ma, D. Bai, X. Hu, N. Ren, W. Gao, S. Chen, H. Chen, Y. Lu, J. Li, and Y. Bai, ACS Appl. Mater. Interfaces, 10, 3002 (2018).
F. Cao, B. Zeng, Y. Zhu, F. Yu, M. Wang, X. Song, X. Cheng, L. Chen, and X. Wang, Biomater. Sci., 8, 250 (2020).
S. Hoshino, Y. Yoshida, S. Tanimura, Y. Yamauchi, T. Noritomi, and Y. Yamashita, Int. Surg., 98, 129 (2013).
T. Baygar, Turk. J. Med. Sci., 50, 258 (2020).
A. R. Franco, E. Palma Kimmerling, C. Silva, F. J. Rodrigues, I. B. Leonor, R. L. Reis, and D. L. Kaplan, Macromol. Biosci., 18, e1800262 (2018).
S. Zhang, X. Liu, H. Wang, J. Peng, and K. K. Wong, J. Pediatr. Surg., 49, 606 (2014).
X. Chen, D. Hou, L. Wang, Q. Zhang, J. Zou, and G. Sun, ACS Appl. Mater. Interfaces, 7, 22394 (2015).
A. Lowe, W. Deng, D. W. Smith, and K. J. Balkus, Macromolecules, 45, 5894 (2013).
D. Wu, H. Cui, J. Zhu, and X. Qin, J. Mater. Chem. B, 4, 2606 (2016).
C. L. He, Z. M. Huang, and X. J. Han, J. Biomed. Mater. Res. A, 89, 80 (2009).
S. Padmakumar, J. Joseph, M. H. Neppalli, S. E. Mathew, S. V. Nair, S. A. Shankarappa, and D. Menon, ACS Appl. Mater. Interfaces, 8, 6925 (2016).
F. Alshomer, A. Madhavan, O. Pathan, and W. Song, Current Med. Chem., 24, 215 (2017).
P. Sibanda, X. Chen, and W. Lu, Prog. Biomed. Eng., 35, 13 (2014).
G. Bakhtawar, A. M. Najabat, A. Umar, B. M. Faraz, M. Mariam, A. Hafsah, and D. Fatima, Int. J. Biomater., 2016, 6964938 (2016).
R. Zurita, J. Puiggal, and A. Rodríguez-Galán, Macromol. Biosci., 6, 58 (2005).
J. C. Harnet, E. L. Guen, V. Ball, H. Tenenbaum, J. Ogier, Y. Haikel, and C. Vodouhe, J. Mater. Sci. Mater. Med., 20, 185 (2009).
S. Saxena, A. R. Ray, A. Kapil, G. Pavon-Djavid, D. Letourneur, B. Gupta, and A. Meddahi-Pell, Macromol. Biosci., 11, 373 (2011).
C. L. He, Z. M. Huang, and X. J. Han, J. Biomed. Mater. Res. Part A, 89A, 80 (2008).
C. Alvarez-Lorenzo, E. Bucio, G. Burillo, and A. Concheiro, Expert Opin. Drug Deliv., 7, 173 (2010).
A. Lowe, W. Deng, D. W. Smith, and K. J. Balkus, Mater. Lett., 125, 221 (2014).
Y. Baimark, R. Molloy, N. Molloy, J. Siripitayananon, W. Punyodom, and M. Sriyai, J. Mater. Sci.: Mater. Med., 16, 699 (2005).
D. Puppi and F. Chiellini, Polym. Int., 66, 1690 (2017).
S. J. Wade, Z. Sahin, A. K. Piper, S. Talebian, M. Aghmesheh, J. Foroughi, G. G. Wallace, S. E. Moulton, and K. L. Vine, Adv. Healthc. Mater., e2001115 (2020).
X. Peng, G. Liu, L. Zhu, K. Yu, K. Qian, and X. Zhan, Carbohydr. Res., 496, 108115 (2020).
A. Obermeier, J. Schneider, P. Fohr, S. Wehner, K. D. Kuhn, A. Stemberger, M. Schieker, and R. Burgkart, BMC Microbiol., 15, 186 (2015).
F. D. Matl, J. Zlotnyk, A. Obermeier, W. Friess, S. Vogt, H. Büchner, H. Schnabelrauch, A. Stemberger, and K.-D. Kühn, J. Biomater. Sci. Polym. Ed., 20, 1439 (2009).
Q. Liu, J. Chen, J. Du, and F. Wang, Chem. Commun., 46, 14482 (2015).
J. J. Kim, J. R. Hwang, U. Y. Kim, and S. S. Kim, J. Membr. Sci., 108, 25 (1995).
D. Li and Y. Xia, Adv. Mater., 16, 1151 (2004).
J. E. Lee, S. Park, M. Park, M. H. Kim, C. G. Park, S. H. Lee, S. Y. Choi, B. H. Kim, H. J. Park, and J.-H. Park, Acta Biomaterialia, 9, 8318 (2013).
R. Zurita, J. Puiggal, and A. Rodríguez-Galán, Macromol. Biosci., 6, 767 (2006).
C. B. Weldon, J. H. Tsui, S. A. Shankarappa, V. T. Nguyen, M. Ma, D. G. Anderson, and D. S. Kohane, J. Controlled Release, 161, 903 (2012).
H. Wen and Z. M. Huang, Polym. Int., 59, 92 (2010).
B. Gupta, R. Jain, and H. Singh, Polym. Adv. Technol., 19, 1698 (2008).
B. Gupta, N. Anjum, S. K. H. Gulrez, and H. Singh, J. Appl. Polym. Sci., 103, 3534 (2007).
M. García-Vargas, C. González-Chomón, B. Magariños, A. Concheiro, C. Alvarez-Lorenzo, and E. Bucio, Int. J. Pharmaceutics, 461, 286 (2014).
C. Vepari and D. L. Kaplan, Prog. Polym. Sci., 32, 991 (2007).
D. Faten, G. Sondes, A. H. A. Mohamed, and B. A. Saber, J. Biomater. Appl., 32, 384 (2017).
R. Kandimalla, S. Kalita, B. Choudhuiy, D. Devi, D. Kalita, K. Kalita, S. Dash, and J. Kotoky, Mater. Sci. Eng. C Mater. Biol. Appl., 62, 816 (2016).
M. Sengupta, J. Sengupta, P. Banerjee, M. Ghosh, and S. Paul, Muller J. Med. Sci. Res., 6, 27 (2015).
A. J. Choudhury, D. Gogoi, J. Chutiya, R. Kandimalla, and Y. B. Chowdary, Surgery, 159, 539 (2016).
K. Himadri, H. Ankita, K. Sanjeeb, K. Raghuram, and D. Rajlakshmi, RSC Adv., 7, 32637 (2017).
W. Hu, Z. M. Huang, and X. Y. Liu, Nanotechnology, 21, 315104 (2010).
D. M. Syukri, O. F. Nwabor, S. Singh, J. C. Ontong, and S. P. Voravuthikunchai, J. Microbiol. Meth., 174, 105955 (2020).
W. C. Zhou, P. F. Tan, X. H. Chen, Y. Cen, C. You, L. Tan, H. Li, and M. Tian, Front Pharmacol., 10, 1506 (2019).
I. Kenji, S. Sotaro, T. Yoichi, S. Toshiyuki, and K. Akemi, Surgery Today, 43, 412 (2013).
S. H. Ávila Filho, K. Dias Ferreira, R. Vieira da Silva, V. D. S. S. Estela, F. S. C. Beatriz, B. D. D. M. Maria, Veridiana, and L. A. Franco da Silva, J. Biomed. Mater. Res. Part B: Appl. Biomater., 107, 2102 (2019).
M. Tummalapalli, S. Anjum, S. Kumari, and B. Gupta, Polym. Rev., 56, 607 (2016).
H. Kim, B. H. Kim, B. K. Huh, Y. C. Yoo, C. Y. Heo, Y. B. Choy, and J. H. Park, Biomater. Sci., 5, 1670 (2017).
J. Hu, Y. Song, C. Zhang, W. Huang, A. Chen, H. He, S. Zhang, Y. Chen, C. Tu, J. Liu, X. Xuan, Y. Chang, J. Zheng, and J. Wu, ACS Appl. Bio Mater., 3, 965 (2020).
B. K. Huh, B. H. Kim, S. N. Kim, C. G. Park, S. H. Lee, K. R. Kim, C. Y. Heo, and Y. B. Choy, Mater. Sci. Eng C Mater. Biol. Appl., 79, 209 (2017).
Acknowledgements
This work was supported by the National Natural Science Foundation of China (Grant No. 22005077), Heilongjiang Postdoctoral Fund (Grant No. LBH-Z20141) and University Nursing Program for Young Scholars with Creative Talents in Heilongjiang Province (UNPYSCT-2018099).
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Li, H., Wang, Z., Robledo-Lara, J.A. et al. Antimicrobial Surgical Sutures: Fabrication and Application of Infection Prevention and Wound Healing. Fibers Polym 22, 2355–2367 (2021). https://doi.org/10.1007/s12221-021-0026-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12221-021-0026-x