Types of suture and Biological suture, synthetic suture. Monofilament

1. Surgical Suture Material
BY
Surgicaltechie.com

2. SUTURE MATERIALS
Suture
The word "suture" describes any strand of material used to ligate
(tie) blood vessels or approximate (bring close together) tissues.
Sutures are used to close wounds.
Types of Suture
*Absorbable suture
*Non-Absorbable suture

3. ABSORBABLE SUTURE
*MONOFILAMENT
(eg.,polydioxanone(PDS),polyester,copolymer
polyglyconate).
Polyglecaprone25(monocryl).
*BRAIDED
(eg.,polygylcolic acid(dexan), lactomer
glycolide,polyglactin910)
Catgut.

4. NON-ABSORBABLE SUTURE
MONOFILAMENT
eg.,
polypropylene(prolene),polyster(ethibond,mersilene,dacron),
Surgical steel.
MULTIFILAMENT
eg.,silk ,cotton.

5. PROLENE(Polypropylene)
❖ Polymer of propylene
❖ Monofilament & non
Absorbable
❖ High tensile suturing
❖ Wound healing is good
❖ Primary wound healing

6. ❖Avoidance of scarring.
❖Reliability.
❖Synthetic material.
❖Colour : clear blue.
❖Biological inert
Prolene cont…,

7. Prolene cont…,
Sterilization :ethylene oxide sterilization
Sizes available:10-0 to 2 gauge
Needle type : swaged type( atraumatic needle)
Suture removal :after 9 to 12 days
Available needle type :cutting , taper cutting,
conventional cutting , reverse cutting ,blunt
needle , round body.

8. Uses of Prolene
➢ Used in soft tissue closure & skin closure
➢ Mainly used in cardio vascular surgery & general
surgeries , orthopaedic surgery.
➢ Used to fix the prolene mesh in hernioplasty
➢ Within the body cavity, where they will remain
permanently encapsulated in tissue.

9. Prolene cont…,

10. 1. Complication of prolene
# .Infection.
# .Sinus formation.
# .Suture extrution .
# .Poorest knot security.
# .Less statisfactory than vicryl,because of stiffness
of the materials .
# .Hernia formation.
# .fascial dehiscence

11. PDS II(POLYDIOXANONE)
o Polydioxanone Suture,Polyster polymer.
o Synthetic Absorbable suture
o Monofilament suture
o Violet ,blue in colour
o Tensile strength
o Post implantation

12. PDS CONT…,
•ETHYLENE OXIDE STERILIZATION
•AVAILABLE DIAMETERS: 8mm to 110mm
•AVAILABLE LENGTH: 70cm,90cm,150cm(loop)
•NEEDLE: 1/2 Blunt point ,
• ½ ,3/8 taper point ,
•1/2,5/8,3/8 circle taper point plus ,
•½,3/8 reverse cutting , spatulated 5/6 circle
•Absorption rate:180 days

13. RANGE OF SUTURE SIZE:7-0 TO 2
INDICATION: Indicated when long-term wound support
is needed.
Uses:
Its mainly used in paediatric surgery.
PDS CONT…,

15. PASS THE NEEDLE

16. Thank You
and
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