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Absorbable Sutures
Absorbable sutures as the name suggests are
absorbable in nature, which are broken down
within the tiss...
- CATGUT SUTURES
WWW.SUTURES.IN
CATGUT ABSORPTION
WWW.SUTURES.IN
PLAIN CHROMIC
WOUND
SUPPORT 7 – 10 days 17 – 21 days
MASS
ABSORPTION 60 – 90 days 90 – 11...
– CHROMIC GUT
Made from Sub Mucosa of Sheep Intestine
Chromicising done to ensure tensile strength
WWW.SUTURES.IN
CATGUT ABSORPTION
Absorption by Enzymatic action
Absorption is unpredictable
Tissue reaction can occur
WWW.SUTURES.IN
CATGUT SUMMARY
Used in soft tissues like subcutaneous fat,
peritoneum, Uterine closure and ligation
DISADVANTAGE
Absorptio...
SYNTHETIC ABSORBABLE
SUTURES
WWW.SUTURES.IN
WWW.SUTURES.IN
COATED TENSILE
STRENGTH RETENTION
100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
60 % on t...
COATED
WOUND SUPPORT : 28 – 32 DAYS
MASS ABSORPTION : 90 – 110 DAYS
WWW.SUTURES.IN
SUMMARY
WWW.SUTURES.IN
Braided
Synthetic
Absorbable
Coating on Hincryl
Strong
Good Knotting and handling
Properties
Few Ti...
Applications of
For Obs & Gynaecs –
Procedures –
Hysterectomy (Closing the vaginal vault after removing the
uterus).
C sec...
WWW.SUTURES.IN
HINCRYL
Synthetic absorbable
Polyglycolic acid (PGA) sutures
Pronounced tissue reaction in-
vivo using natu...
HINGLACT – Polyglactin 910
WWW.SUTURES.IN
Characteristics
Copolymer of lactide and polyglycolide
Synthetic absorbable braided suture
Coated for easy tissue passage,...
Coated tensile
strength retention
WWW.SUTURES.IN
100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
65 % on t...
Applications of Hinglact 910
1) Soft tissue approximation
2) Ligation
3) Ophthalmic procedures
4) Urology (Urinary tract s...
Hidox- Polydiaxonone
WWW.SUTURES.IN
HIDOX TENSILE STRENGTH
RETENTION
WWW.SUTURES.IN
100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
70 % on th...
Hinocryl- Polyglecaprolactone
WWW.SUTURES.IN
Characteristics
•Hincoryl is a synthetic, monofilament absorbable suture. It is composed
of poliglecaprone 25, which is a ...
HINOCRYL TENSILE STRENGTH
RETENTION
WWW.SUTURES.IN
100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
70 % on...
Hinglact Prime Polyglactin 910
Anti-bacterial Sutures
Polyglactin 910, a copolymer of 90% glycolide and 10%
Polylactide co...
WWW.SUTURES.IN
Thank You
HLL Lifecare Limited
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Types of Absorbable Sutures

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Explaining the types of Absorbable Sutures, suture materials, and their characteristics.

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Transcript of "Types of Absorbable Sutures"

  1. 1. Absorbable Sutures Absorbable sutures as the name suggests are absorbable in nature, which are broken down within the tissues and absorbed to the body after a period of time, which can be from ten days to eight weeks. And hence it is mainly used in the internal tissues of the body. WWW.SUTURES.IN
  2. 2. - CATGUT SUTURES WWW.SUTURES.IN
  3. 3. CATGUT ABSORPTION WWW.SUTURES.IN PLAIN CHROMIC WOUND SUPPORT 7 – 10 days 17 – 21 days MASS ABSORPTION 60 – 90 days 90 – 110 days
  4. 4. – CHROMIC GUT Made from Sub Mucosa of Sheep Intestine Chromicising done to ensure tensile strength WWW.SUTURES.IN
  5. 5. CATGUT ABSORPTION Absorption by Enzymatic action Absorption is unpredictable Tissue reaction can occur WWW.SUTURES.IN
  6. 6. CATGUT SUMMARY Used in soft tissues like subcutaneous fat, peritoneum, Uterine closure and ligation DISADVANTAGE Absorption by Enzymatic action Tissue Reactions occur Unpredictable Absorption WWW.SUTURES.IN
  7. 7. SYNTHETIC ABSORBABLE SUTURES WWW.SUTURES.IN
  8. 8. WWW.SUTURES.IN COATED TENSILE STRENGTH RETENTION 100 90 80 70 60 50 40 30 20 10 0 10 20 30 40 50 60 70 80 90 100 60 % on the 7th day 35 % on the 14th day 5 % on the 28th day Days
  9. 9. COATED WOUND SUPPORT : 28 – 32 DAYS MASS ABSORPTION : 90 – 110 DAYS WWW.SUTURES.IN
  10. 10. SUMMARY WWW.SUTURES.IN Braided Synthetic Absorbable Coating on Hincryl Strong Good Knotting and handling Properties Few Tissue Reaction Predictable Absorption No Foreign body left Minimizing problems of multifilament Knot slides down easily Minimal Tissue Reaction
  11. 11. Applications of For Obs & Gynaecs – Procedures – Hysterectomy (Closing the vaginal vault after removing the uterus). C section – To close the uterus after delivering the baby. General procedures like kidney operation (closure of muscles of abdominal wall), Repair of incisional and ventral Hernias, Chest wall closure. Apart from the above it is also used by Plastic surgeons, Pediatric surgeons & Urologists. WWW.SUTURES.IN
  12. 12. WWW.SUTURES.IN HINCRYL Synthetic absorbable Polyglycolic acid (PGA) sutures Pronounced tissue reaction in- vivo using natural absorbables Tissue reaction is less using Synthetic absorbables
  13. 13. HINGLACT – Polyglactin 910 WWW.SUTURES.IN
  14. 14. Characteristics Copolymer of lactide and polyglycolide Synthetic absorbable braided suture Coated for easy tissue passage, precise knot placement and smooth tie down The water repelling quality of lactide slows down the loss of tensile strength and the bulkiness of lactide leads to rapid absorption of the suture once the tensile strength is lost. Causes minimal tissue reaction Absorption time is 56-70 days WWW.SUTURES.IN
  15. 15. Coated tensile strength retention WWW.SUTURES.IN 100 90 80 70 60 50 40 30 20 10 0 10 20 30 40 50 60 70 80 90 100 65 % on the 14th day 15% on the 28th day Days
  16. 16. Applications of Hinglact 910 1) Soft tissue approximation 2) Ligation 3) Ophthalmic procedures 4) Urology (Urinary tract surgery – Closure of the tissues in the urinary tract to prevent escape of urine to surrounding tissues) 5) General surgeries WWW.SUTURES.IN
  17. 17. Hidox- Polydiaxonone WWW.SUTURES.IN
  18. 18. HIDOX TENSILE STRENGTH RETENTION WWW.SUTURES.IN 100 90 80 70 60 50 40 30 20 10 0 10 20 30 40 50 60 70 80 90 100 70 % on the 14th day 25% on the 42 days Days 50 % on the 28th days
  19. 19. Hinocryl- Polyglecaprolactone WWW.SUTURES.IN
  20. 20. Characteristics •Hincoryl is a synthetic, monofilament absorbable suture. It is composed of poliglecaprone 25, which is a copolymer of glycolide and epsilon- caprolactone. It comes both dyed (violet) and undyed (clear). •Monocryl has a low tissue reactivity, maintains high tensile strength, and has a half-life of 7 to 14 days. At 1 week, its in vivo tensile strength is at 50-60% undyed, (60-70% dyed), at 2 weeks its 20-30% undyed (30-40% dyed). •Completely hydrolyzed by 91–119 days. It is rarely used for percutaneous skin closure, and is not used in areas of high tension (e.g. fascia). •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 Polyglactin 910. It is for usage in ophthalmic and microsurgery. Also used in Gastro intestinal areas, Oral mucosa and bowel anastomosis. WWW.SUTURES.IN
  21. 21. HINOCRYL TENSILE STRENGTH RETENTION WWW.SUTURES.IN 100 90 80 70 60 50 40 30 20 10 0 10 20 30 40 50 60 70 80 90 100 70 % on the 7th day Days 30 % on the 14th day
  22. 22. Hinglact Prime Polyglactin 910 Anti-bacterial Sutures Polyglactin 910, a copolymer of 90% glycolide and 10% Polylactide coated with Polyglactin 370 and calcium stearate. HINGLACT PRIME contains Chlorhexidine acetate a broad spectrum antibacterial agent with novel mechanism of action. Virtues ◦ Superior pliability ◦ Less tissue drag ◦ Complete absorption within 56 to 70 days ◦ Wound Support up to 30 days ◦ Antibacterial activity WWW.SUTURES.IN
  23. 23. WWW.SUTURES.IN Thank You HLL Lifecare Limited follow us here
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