What are the main type of sutures used to close wounds?
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What are the main type of sutures used to close wounds?
In primary wound closure, sutures are the standard of care. There are two types of sutures, absorbable and non-absorbable. Non-absorbable sutures are preferred because they provide great tensile strength, and the body’s chemicals will not dissolve them during the natural healing process.
How do I choose sutures?
There are many factors that go into selecting a suture type. These include tensile strength required for wound closure, site anatomic location of the wound closure, and ability to return for follow up.
What type of suture material is used to close skin?
Surgical steel, silk, cotton and linen are examples of natural materials. Synthetic non-absorbable monofilament sutures are most commonly used in cutaneous procedures and include nylon, polypropylene and polybutester.
What is Monocryl suture used for?
It comes both dyed (violet) and undyed (clear) and is an absorbable monofilament suture. It is generally used for soft-tissue approximation and ligation. It is used frequently for subcuticular dermis closures of the face. It has less of a tendency to exit through the skin after it breaks down, such as Vicryl.
What is Prolene suture used for?
PROLENE Sutures are indicated for use in general soft tissue approximating and/or ligation, including use in cardiovascular, ophthalmic procedures, and neurological procedures. PROLENE Sutures have been trusted by cardiovascular surgeons for over 40 years having been used in over 100 million people worldwide.
Is Monocryl the same as Vicryl?
Monocryl has identical knot performance compared with Vicryl, similar performance to PDS, and lesser performance compared with Maxon. Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS. Monocryl loses 70% to 80% of its tensile strength at 1 and 2 weeks.
Is Vicryl used for skin closure?
Δ Fast-absorbing gut or, for scalp lacerations, coated polyglactin 910 [Vicryl Rapide®] may be used for skin closure without negatively impacting wound outcomes in young children to avoid the anxiety and difficulty of suture removal and in patients for whom followup for suture removal is not assured.
