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Presented By:- Amal Ray
Roll No:-02
Stream:-MTT
GUIDED BY-Sajal Burman
GETTS, Serampore
 Surgical suture serve as a means of wound closure and tissue
approximation. Suture bring together and maintain the tissue on
each side of a wound until the natural healing process has
provided a sufficient level of wound strength.
 Provide Strength and flexibility until wound healing is over.
 Highly uniform tensile strength, permitting use of finer size
 Non-capillary, non-allergenic, and non-carcinogenic
 Consistent uniform diameter
 Easy to handle, ties down well, provides optimum knot security
 Minimally reactive in tissue and not predisposed to bacterial
growth
 Resistant to shrinking in tissues
 Absorbed completely with minimal tissue reaction after serving its
purpose
 There are many different types of suture. The most important
types are..
 1. Absorbable suture
 2. Non-absorbable suture
 3. Braided suture
 4. Non-Braided suture
 Absorbable suture breaks down over time in the body. Examples
of absorbable suture are-
 Polyglycolic Acid (Dexon)
 Polyglactin (Vicryl)
 Polydioxone (PDS)
 Polyglyconate (Maxon)
When used on the skin,these sutures will be removed however
when used in the body they will retained inside the tissue.
Polyamide (Nylon)
Polyester (Dacron)
Polypropylene (Prolene
Absorbable suture
Non-absorbable suture
 Braided suture have a number of standswoven together like a
string. Examples of braided suture are silk, vicryl etc.
 Non-braided or monofilament suture have a single stand such as
monocryl, ethilon nylon etc.
Braided suture
Non-braided suture
 1. Natural Absorbable sutures
 2. Synthetic Absorbable sutures
 3. Non absorbable Materials :
 These sutures are prepared either from the collagen of healthy
mammals. Some are absorbed rapidly, while others are treated or
chemically structured to lengthen absorption time ( Chromic ).
Absorbed/ digested by body enzymes which attack and break
down the suture strand. Plain sutures are absorbed in 70 days
measurable tensile str Chromic sutures are absorbed in over 90
days with measurable tensile strength for 14-21 days ength for 7-
10 days.
Natural Absorbable sutures
 They are made of polymer strands which are braided and
impregnated or coated with agents that improve their handling
properties and colored with dyes to increase visibility in tissue.
 Synthetic absorbable sutures are hydrolyzed -- a process by which
water gradually penetrates the suture filaments, causing the
breakdown of the suture's polymer chain. Absorption normally
completes in 60-90 days.
 Exp - Polyglycolic Acid (PGA)
Synthetic Absorbable sutures
 Non-absorbable sutures are those, which are not digested by body
enzymes or hydrolyzed in body tissue.
 They may be used in a variety of applications :
1. Exterior skin closure - to be removed after sufficient healing has
occurred.
2. Within the body cavity, where they will remain permanently
encapsulated in tissue.
Non absorbable Materials
 1. Broughton G , 2nd, Janis JE, Attinger CE. Wound healing: an
overview. Plast Reconstrt Surg. 2006 Jun;117(7 suppl):1e-S–32e-S.
[PubMed]
 2. Townsend CM , Jr, Beauchamp RD, Evers M, Mattox KL. Sabiston
Textbook of Surgery. 18th ed. New York: Saunders; 2007.
 3. Martin P. Wound healing-aiming for perfect skin regeneration.
Science. 1997;276:75–81. [PubMed]
 4. Gurtner G, Werner S, Barrandon Y, Longaker MT. Wound repair
and regeneration. Nature. 2008;453:314–321. [PubMed]
THANK YOU

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Surgical suture

  • 1. Presented By:- Amal Ray Roll No:-02 Stream:-MTT GUIDED BY-Sajal Burman GETTS, Serampore
  • 2.  Surgical suture serve as a means of wound closure and tissue approximation. Suture bring together and maintain the tissue on each side of a wound until the natural healing process has provided a sufficient level of wound strength.
  • 3.  Provide Strength and flexibility until wound healing is over.  Highly uniform tensile strength, permitting use of finer size  Non-capillary, non-allergenic, and non-carcinogenic  Consistent uniform diameter  Easy to handle, ties down well, provides optimum knot security  Minimally reactive in tissue and not predisposed to bacterial growth  Resistant to shrinking in tissues  Absorbed completely with minimal tissue reaction after serving its purpose
  • 4.  There are many different types of suture. The most important types are..  1. Absorbable suture  2. Non-absorbable suture  3. Braided suture  4. Non-Braided suture
  • 5.  Absorbable suture breaks down over time in the body. Examples of absorbable suture are-  Polyglycolic Acid (Dexon)  Polyglactin (Vicryl)  Polydioxone (PDS)  Polyglyconate (Maxon) When used on the skin,these sutures will be removed however when used in the body they will retained inside the tissue. Polyamide (Nylon) Polyester (Dacron) Polypropylene (Prolene Absorbable suture Non-absorbable suture
  • 6.  Braided suture have a number of standswoven together like a string. Examples of braided suture are silk, vicryl etc.  Non-braided or monofilament suture have a single stand such as monocryl, ethilon nylon etc. Braided suture Non-braided suture
  • 7.  1. Natural Absorbable sutures  2. Synthetic Absorbable sutures  3. Non absorbable Materials :
  • 8.  These sutures are prepared either from the collagen of healthy mammals. Some are absorbed rapidly, while others are treated or chemically structured to lengthen absorption time ( Chromic ). Absorbed/ digested by body enzymes which attack and break down the suture strand. Plain sutures are absorbed in 70 days measurable tensile str Chromic sutures are absorbed in over 90 days with measurable tensile strength for 14-21 days ength for 7- 10 days. Natural Absorbable sutures
  • 9.  They are made of polymer strands which are braided and impregnated or coated with agents that improve their handling properties and colored with dyes to increase visibility in tissue.  Synthetic absorbable sutures are hydrolyzed -- a process by which water gradually penetrates the suture filaments, causing the breakdown of the suture's polymer chain. Absorption normally completes in 60-90 days.  Exp - Polyglycolic Acid (PGA) Synthetic Absorbable sutures
  • 10.  Non-absorbable sutures are those, which are not digested by body enzymes or hydrolyzed in body tissue.  They may be used in a variety of applications : 1. Exterior skin closure - to be removed after sufficient healing has occurred. 2. Within the body cavity, where they will remain permanently encapsulated in tissue. Non absorbable Materials
  • 11.  1. Broughton G , 2nd, Janis JE, Attinger CE. Wound healing: an overview. Plast Reconstrt Surg. 2006 Jun;117(7 suppl):1e-S–32e-S. [PubMed]  2. Townsend CM , Jr, Beauchamp RD, Evers M, Mattox KL. Sabiston Textbook of Surgery. 18th ed. New York: Saunders; 2007.  3. Martin P. Wound healing-aiming for perfect skin regeneration. Science. 1997;276:75–81. [PubMed]  4. Gurtner G, Werner S, Barrandon Y, Longaker MT. Wound repair and regeneration. Nature. 2008;453:314–321. [PubMed]