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JOSEPH K. NARAT, M.D.; ARTHUR F. CIPOLLA, M.D.; JOSEPH P. CANGELOSI, M.D.

Arch Surg. 1950;60(6):1218-1230.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE USE of nonabsorbable suture material in surgery is more and more encroaching on the domain of surgical gut. Long ago Kocher¹ and Halsted² focused attention on the use of silk, while Meade and Ochsner³ and Meade and Long⁴ have demonstrated the superiority of cotton. More recently Whipple,⁵ Shambaugh,⁶ Hyde⁷ and others have advocated the use of nonabsorbable sutures.

Of the various materials belonging to this group, cotton has gained the greatest popularity, its only drawback being the relatively low tensile strength. Size for size, dry surgical gut is the strongest suture material, with silk, linen and cotton following in order. Cotton, size for size, is two thirds as strong as surgical gut and three fourths as strong as silk.^3b The tensile strength of a suitably twisted high grade egyptian cotton remains below that of true Bombyx mori silk. The "United States . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

Footnotes
Dr. Warren H. Cole made valuable suggestions and allowed us the privilege of using the laboratory of the Department of Surgery, University of Illinois College of Medicine.

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