The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
The surgical suture.
Open accessAbstract
Surgeons must select the optimal suture materials for tissue approximation to maximize wound healing and scar aesthetics. Thus, knowledge regarding their characteristics is crucial to minimize ischaemia, excess wound tension, and tissue injury. This article describes the selection of various suture materials available today and their intended design. Modern suture material should have predictable tensile strength, good handling, secure knot-tying properties, and could be enhanced with an antibacterial agent to resist infection. Tensile strength is limited by suture size. The smallest suture size that will accomplish the purpose should be chosen to minimize tissue trauma and foreign material within tissues. Monofilament suture has lower resistance when passed through tissues, whereas multifilament sutures possesses higher tensile strength and flexibility but greater tissue friction and pose risks of suture sinus and infection. Natural absorbable sutures derived from mammalian collagen undergo enzymatic degradation whereas synthetic polymers undergo hydrolysis. Collagen or polymer structures in the suture can be modified to control absorption time. In contrast, nonabsorbable sutures typically cause an inflammatory reaction that eventually encapsulates by fibrous tissue formation. Excess reaction leads to chronic inflammation, suboptimal scarring, or suture extrusion. More recently, barbed sutures have transformed the way surgeons approximate wounds by eliminating knots, distributing wound tension, and increasing efficiency of closure. Similarly, modern skin adhesives function both as wound closure devices as well as an occlusive dressing. They eliminate the need for skin sutures, thus improving scar aesthetics while sealing the wound from the external environment.
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In the citing paper
“Prolene and Nylon sutures, favored for smooth handling and low tissue reactivity, performed comparably to more expensive alternatives.100,101”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [101]
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Citations
Cites
Guideline for Prevention of Surgical Site Infection, 1999
Mangram, A. J., Horan, T. C., Pearson, M. L., Silver, L. C., Jarvis, W. R., & The Hospital Infection Control Practices Advisory Committee (1999) · Infection Control & Hospital Epidemiology · doi:10.1086/501620 · Cited by 4,595
Rothenburger, S., Spangler, D. J., Bhende, S., et al. (2002) · Surgical Infections · doi:10.1089/sur.2002.3.s1-79 · Cited by 181
Greenberg, J. A., & Einarsson, J. I. (2008) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2008.06.004 · Cited by 132
Zaruby, J., Gingras, K., Taylor, J. L., et al. (2011) · Aesthetic Surgery Journal · doi:10.1177/1090820x10395010 · Cited by 112
Moran, M. E., Marsh, C., & Perrotti, M. (2007) · Journal of Endourology · doi:10.1089/end.2007.9913 · Cited by 87
Barbed Sutures in Aesthetic Plastic Surgery: Evolution of Thought and Process
Matarasso, A., & Malcolm, P. (2013) · Aesthetic Surgery Journal · doi:10.1177/1090820x13499343 · Cited by 86
Lin, Y., Lai, S., Huang, J., et al. (2016) · Scientific Reports · doi:10.1038/srep23425 · Cited by 83
Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications
Malcolm, P. (2009) · Journal of the American College of Clinical Wound Specialists · doi:10.1016/j.jcws.2009.01.002 · Cited by 77
Gilbert, P., & McBain, A. J. (2002) · Surgical Infections · doi:10.1089/sur.2002.3.s1-55 · Cited by 59
Barbed Sutures and Wound Complications in Plastic Surgery: An Analysis of Outcomes
Cortez, R., Lazcano, E., Miller, T. J., et al. (2015) · Aesthetic Surgery Journal · doi:10.1093/asj/sju012 · Cited by 51
Research works printed but not linked: 2
- Ethicon Wound Closure Manual
- Singer, 2003, Tissue adhesives, 83
Cited by
Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review
Kaleeny, J. D., & Janis, J. E. (2026) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000007404
Metadata
- Authors
- Byrne, M., & Aly, A.
- Affiliations
- Cleveland Clinic Abu Dhabi (AE)
- Corresponding author
- Byrne, Miriam
- ORCID
- Aly, Al
- Venue
- Aesthetic Surgery Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-03-14
- Volume
- 39
- Issue
- Supplement_2
- Pages
- S67-S72
- ISSN
- 1090-820X (ISSN-L)
- 1527-330X
- OpenAlex
- W2921010859
- Cited by
- 201
- References
- 13
- Citations by year
- 2026: 35 · 2025: 31 · 2024: 34 · 2023: 55 · 2022: 20 · 2021: 11 · 2020: 11 · 2019: 4
- FWCI
- 10.98
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- Locations
- Aesthetic Surgery Journal (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- Ethicon US, LLC
- Topics
- Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
- Health Sciences › Medicine › Surgery › Wound Healing and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- surgical sutures, suture material selection, wound closure, wound healing, scar aesthetics, tensile strength, monofilament suture, multifilament sutures, absorbable sutures, non-absorbable sutures, suture extrusion, barbed sutures, skin adhesives, wound tension
- MeSH terms
- Sutureless Surgical Procedures, Surgical Wound, Humans, Surgical Wound Dehiscence, Suture Techniques, Sutures, Tensile Strength, Tissue Adhesives, Wound Healing
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
