Professional Documents
Culture Documents
Suture materials
Definition
• A natural (catgut, silk, or linen) or
synthetic, or other (thin metal
wire) monofilament or
multifilament material used
surgically to close a surgical or
accidental wound and to secure
apposition of the edges and join
tissues.
• Three properties of a suture
material affect its handling:
memory, elasticity, and knot
strength.
• Tensile strength, tissue reaction,
and capability to be absorbed are
other important characteristics of
the suture material.
Background
• The wounds were closed in 3000
BC by the Egyptians using thorns
and needles.
• By 1000 BC Indian surgeon were
using horsehair, cotton and
leather sutures.
• In Roman times, linen, silk and
metal clips called fibulae were
commonly used to close
gladiatorial wounds.
• By the end of the nineteenth
century both silk and cut gut
became popular as suture
materials.
• All the natural sutures silk, cotton,
linen and cut gut are being
replaced by polymeric synthetic
materials now.
• They can be manufactured as
monofilaments or braids, and can
be coated with wax, silicone or
polybutyrate (to allow them to run
smoothly through tissues and to
knot securely).
Feature of ideal suture
material
• Adequate tensile strength.
• Good knot holding property.
• Should be least reactive.
• Easy handling property.
• Should have less memory.
• Should be easily available and
cost effective.
CLASSIFICATIN I
ABSORBABLE SUTURE
MATERIALS
1- Plain catgut is derived from sub
mucosa of jejunum of sheep.
- It is yellowish white in color.
- It is absorbed by inflammatory
reaction and phagocytosis.
- It is used for subcutaneous tissue,
muscle, circumcision in children.
2- Chromic catgut is catgut with
chromic acid salt.
- It is brown in color.
- It is used for suturing muscles,
fascia, external oblique
aponeurosis, ligating pedicles.
3- Vicryl (Polyglactic acid).
2- Polypropylene (prolene) is
synthetic monofilament suture
material. Blue in color
- It has got high memory( memory of
suture materials is recoiling
tendency after removal from the
packet. Ideally suture material
should have low memory). (prolen
mesh used for hernioplasty is in
white color).
3- Polyethylene (ethylene) is
synthetic monofilament black in
color.
4- Cotton is twisted multifilament
natural non absorbable and white
in color.
5- Linen is derived from bark of
cotton tree.
6- Steel, polyester, poly amide,
nylon are other non absorbable
suture materials.
CLASSIFICATION II
Natural Synthetic
1- Catgut. 1- Vicryl
2- polyester 2- Dexon
3- Silk. 3- PDS
4- polyamide 4- Maxon
5- Cotton 5- polypropylene
6- Linen 6- polyethylene
CLASSIFICATION III
Braided Twisted
1- Polyester 1- Cotton
2- Polyamide 2- linen
3- Vicryl
4- Dexon
5- silk
CLASSIFICATION IV
Monofilament Multifilament
1- Polypropylenes
1- polyester
2- polyethylene2- polyamide
3- PDS 3- vicryl
4- Catgut 4- dexon
5- Steel 5- silk
6- cotton
CLASSIFICATION V
1- Coated 2- Un coated
Choice of suture materials
2
1 For pedicle ligation
0
1-0
2-0
3-0 For bowel suturing
4-0
5-0
6-0
7-0 For vascular anastomos
8-0
0-9 For ophthalmic surgery
requiring operating microscop
Metal sutures, clips and staples
• Directed by Specialist
M.Khakid trainer of general
surgery.
• Date: 25-02-88