Optimum Sutures for Exotic Pets

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STATEMENT OF OWNERSHIP, MANAGEMENT, AND
CIRCULATION
Publication title: NAVC Clinician’s Brief Publication number: 1542-4014
Filing date: 9/26/11 Issue frequency: Monthly Number of issues published annually: 12 Annual subscription price: $55 Complete mailing
address of known office of publication: 2021 S Lewis Ave, Suite 760,
Tulsa OK 74104 Contact person: Elizabeth Green Telephone: 918-7490118 Full names and complete mailing addresses of Publisher, Editor, & Managing Editor: Elizabeth Green, 2021 S Lewis Ave, Suite 760,
Tulsa OK 74104; Indu Mani, DVM, 698 Beacon St #1, Newton, MA 02459; CJ
Ellis, 310 Timberline Dr, Mount Laurel, NJ 08054 Owner: Educational Concepts, LLC, 2021 S Lewis Ave, Suite 760, Tulsa OK 74104—owners: Siegfried
Ventures, 1924 S. Utica Ave, Tulsa, OK 74104; Elizabeth Green, 2021 S Lewis
Ave, Suite 760, Tulsa OK 74104; John O’Brien, 12118 Nieman Rd, Overland
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Known Bondholders, Mortgages and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages or Other Securities: None Issue Date for Circulation Data
Below: November 2011
Extent and Nature of Circulation
Avg. no.
copies each
issue during
preceding
12 months
Total number of copies
Paid and/or requested circulation
(1) Outside county paid/requested mail
subscriptions stated on Form 3541
(2) In-county paid/requested subscriptions
stated on Form 3541
(3) Sales through dealers and carriers,
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(4) Other classes mailed through USPS
Total paid and/or requested circulation
Nonrequested distribution by mail
(1) Outside-county as stated on form 3541
(2) In-county as stated on Form 3541
(3) Other classes mailed through USPS
(4) Nonrequested copies distributed
outside the mail
Total nonrequested distribution
Total distribution
Copies not distributed
Total
Percent paid and/or requested circulation
No. copies
of single
issue published
nearest to
filing date
57,204
56,277
43,836
43,708
356
391
44,192
44,099
11,168
11,659
1517
12,685
36
11,695
56,877
327
57,204
77.7%
55,794
483
56,277
79.0%
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Optimum Sutures for Exotic Pets
An estimated 70 million
exotic pets live in US households: fish, amphibians, reptiles, birds, rabbits, rodents,
and ferrets. This article summarized the common suture
materials used for these
patients. In general, chromic gut
is more reactive than synthetic
absorbable sutures in rabbits, rats,
and ferrets. For birds, a study comparing 5 suture materials in doves concluded that polydioxanone was
the optimum suture because of its minimal inflammatory response.
One study conducted in amphibians evaluated 5 suture materials; all 5
caused more inflammation than a single stab incision left to heal by
secondary intention. The study concluded that monofilament nylon may
be most appropriate for amphibian skin. In reptiles, unsutured wounds
were found to result in significantly less disruption of scale pattern and
wound overlap and less inflammation than in wounds sutured with 5-0
Prolene. In another study of hatchling ball pythons, 8 suture materials
and cyanoacrylate tissue adhesive were compared. Tissue adhesive did
not cause significantly more inflammation than the negative control
(unsutured incision), suggesting that it may be appropriate for small,
superficial wounds and incisions. All suture materials in reptiles
caused chronic inflammatory responses significantly higher than seen
in negative controls. Rapidly absorbed synthetic monofilament was
advised for use in reptiles. In fish, a review of studies suggested that
monofilament absorbable sutures are most appropriate.
Commentary: This review attempts to collate information on suture
selection across a variety of exotic pet species. The first portion of the
article is dedicated to a non–species-specific summary of suture material properties and tissue healing. Practitioners may find the summary
table on suture tensile strength and complete absorption time in different tissues in mammals a useful reference. Those looking for definitive
recommendations on suture selection will find the most concrete suggestions in the sections covering birds, reptiles, and fish. The rabbit,
rodent, and ferret sections offer fewer insights; however, in my experience a synthetic monofilament suture such as Maxon (polyglyconate)
can be used with few adverse effects in these animals.—Dominique
Keller, PhD, DVM
Suture materials and suture selection for use in exotic pet surgical procedures.
McFadden MS. J EXOTIC PET MED 20:173-181, 2011.
46 .............................................................................................................................................................................NAVC Clinician’s Brief / November 2011 / Capsules