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Classification of Sutures

Monofilament Multifilament

Synthetic Biological

Absorbable Non - Absorbable

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Monofilament

Advantages

Smooth surface

Less tissue trauma

No bacterial harbours

No capillarity

Disadvantages

Handling & knotting

Ends/knot burial

Stretch

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Multifilament

Advantages

Strength

Soft & pliable

Good handling

Good knotting

Disadvantages

Bacterial harbours

Capillary action

Tissue trauma

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Synthetic

Advantages

Non-Absorbables are inert

Absorbables resemblenatural substances

Absorption by hydrolysis

Predictable absorption

Strength

Disadvantages

Monofilament handling

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Biological

Advantages

Handling & knotting

Economy

Disadvantages

Tissue reactions

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Absorbable

Advantages

Broken down by body

No foreign body left

Disadvantages

Consideration of

wound support time

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BIOLOGICAL

MERSILK* Suture MERSILENE* Suture

ETHIBOND* Suture

PROLENE* Suture

PRONOVA* Suture

ETHILON* Suture

NUROLON* Suture

Stainless Steel Wire

Coated VICRYL* Suture

PDS*II Suture

VICRYL* rapideSuture

Monofilament version VICRYL* Suture available for use in ophthalmic surgery

MERSILENE* Suture - trochanter suture is braided

BIOLOGICAL SYNTHETIC

ABSORBABLENON-ABSORBABLE

SYNTHETIC

ETHICON Sutures

MONOCRYL* Suture

Coated VICRYL* PlusSuture

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ETHICON Absorbable Sutures

VICRYL* rapide

MONOCRYL*

Coated VICRYL*

Coated VICRYL*

PlusAntibacterialSuture

PDS* II

Skin

Perineum

Oral Lacerations

Traumatology

Ligaments

Fascia

Vessel anastomosis

10 days By 42 daysWound Suppor t Mass Absorp t ion Typical Uses

30 days

60 days

20 days

30 days 56 - 70 days

90 - 120 days

56 - 70 days

180 - 210 days

Ligature

General

Bowel

Orthopaedics

Ligature General

Bowel

Ophthalmic

Ligature

Mucosa

Obstetrics

Bowel

Skin

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Volume %

Reduction With

Decreasing Size

2/0

3/0

4/0

5/0

6/07/0

8/0

2/0

3/0

4/0

5/0

6/07/0

8/0

51%

40%

49%

54%

50%

44%

51%

40%

49%

54%

50%

44%

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Anatomy of a Surgical Needle

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Use of Needle Holders

Loading

Needle

Needle

passing

through

skin

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Needle Shapes

Eye

Microsurgery

Dura

Eye

FasciaNerve

Muscle

Eye

Skin

Peritoneum

Cardiovascular

Oral

Pelvis

Urogenital tract

Nasal cavity

Nerve

Skin

Tendon

Eye (Anterior

segment)

Laparoscopy

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Round Bodied Needles

TAPERPOINT

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Cutting Needles

Conventional Cutting

Reverse Cutting

PRIME

P Needle

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Packaging

Expiry dateBatch NumberDo Not Re-use

Product (re-order) CodeImperial GaugeMetric Gauge

Needle size

& curvature

Needle type

Needle point

See Instructions

for use

Needle profile

Sterilised

Ethylene Oxide

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Skin Adhesive: key points

Butyl or 2-octyl Cyanoacrylate

Topical i.e. not to be put into the wound

Low tension dry & haemostatic wounds

2-octyl cyanoacrylate provides a

waterproof microbial barrier

Patients may prefer wound aftercare

Always read manufacturers instructions