Dr.
Archana Kumari
Asstt. Professor cum Junior Scientist
Veterinary Surgery and Radiology
BVC, BASU, Patna
SUTURE MATERIAL
Polydioxanone
• It is synthetic monofilament polymer of paradioxanone.
• It is sterlised by by ethylene polyglactin 910.
• It is absorbed by hydrolysis
• Absorption time 91 to 182 days.
• On relative basis catgut loses its strength on 7 day, polyglactin at 10-19th
day and polydioxanone at 20th day.
Polydioxanone
Non absorbable (Organic suture material)
Silk:
• Obatined from the cocoon of the silk worm.
• Dyed with the vegetable dye .
• Its natural capillarity is decreased by treating it with oil, waxor silicone
• And it is available as monofilament and braided multifilament.
• Sterlised by autoclaving, binds with gammaglobulin leads to acute inflammation may cause
ulceration in the GIT.
• May act as nidus for calculus formation in the urinary bladder and gall bladder.
Cotton:
• Less tissue reaction than silk.
• Capillary in action
Silk worm gut:
• It is smooth ,strong , non capillary and useful for cutaneous suture.
• It is available in fine , medium, and coarse size 30 to 40 cm length
Silk
• Horse hair :
• It is cheap , non-capillary ,flexible and is easily sterlised .
• It causes little tissue reaction.
• Linen:
• It is capillary in nature and produces more tissue reaction than cotton and
silk.
• Umblical Tape:
• Cotton tape suture is about 1/4 cm wide and most often used to tie the
umblical cord of the new born or as vulvar suture in cases of prolpse of
vagina or uterus.
• Dermal suture :
• Non absorbable silk coated with tanned gelatin or other protein substances.
Inorganic suture material
Mettalic suture :
• Wire of different metals like tatntalum ,silver ,copper, aluminium,
vitallium(stainless steel).
Metal clips (wound clips):
• They hold the skin in opposition over flat surfaces.
• They causes less scarring.
Pin suture :
• Ordinary pins can be used for keeping the skin edges together.
Wire mesh:
• Tantalum and srainless steel mesh are used to cover defects in the abdominal
wall in cases of hernia or injury.
Mettalic suture
Synthetic suture material
• Nylon:
• Obtained from hexamethylene diamine and adipic acid.
• It is biologically inert and may be monofilament or mulifilament, and former is non-capillary.
• It stimulates minimal tissue reaction .
• It is not used within serous or synovial cavity because cut sharp ends can cause trauma due
to friction .
• It has poor handling characteristics and knot security.
• Polyster Fiber
• Synthetic mesh
• Terelene
• Synthetic mesh
• Polybutester
• Surgilene
• Vetafil
Nylon
Natural
• Absorbable Non absorbable
• catgut • Silk worm gut
• Chromic • Silk
• catgut Cotton
• Collagen
• Fascia lata
• Beef tendon
Absorbable Non Absorbable
Polyglycolic acid Nylone
Polyglactic acid Polypropyline
Polyglactin(vicryl) Polysters
Polydioxanone(PDS Polyethelene
• SS(stainless steel)
• Tantalum
• Silver
• Gold
• Aluminium
Monofilament
Absorbable Non-absorbable
• Catgut • Polyoropylene
• Chromic catgut • Polyester
• Vicryl • Nylone
• PDS • Polyvenyleidenefluoride
/PVDF
• suture
Monofilament
Monofilament vs multifilment
Monofilament Multifilament
• Has no capillary action • Has capillary action
• Less infection risk • Increased infection risk
• Smooth tissue passage • Less smooth passage
• Higher tensile strength • Less tensile strength
• More throws required • Better knot security
Absorbable vs Non absorbable
Absorbable Non absorbable
• Degraded by enzymes • Encapsulated or walled
,hydrolysis or off by fibrosis
phagocytosis • Used to suture at sites
• Used to hold the edges in where tensile strength need
approximation temporarily to be maintained
until the wound is heal
Selection of suture materials
