Surgical suture includes needle with an attached length of thread. The needles are made from stainless steel. Non-absorbable sutures are made from a variety of nonbiodegradable materials, which are not digested by body enzymes or hydrolyzed in body tissue, specifically, there are the following types: Nylon monofilament, Silk and Polypropylene.
Features
1. Nylon monofilament
- Molecule: made from two types of polyamides are polyamide 6 or polyamide 6, 6.
- Advantages: Suture have smooth surface of the suture permit atraumatic passage and excellent sliding through the tissues, less tissue reaction and good wound closure.
- Indicates:
Used in closing external wound (skin suturing), joining soft tissues including eye surgery, microsurgery, neurosurgery, plastic surgery.
Due to tendency to lose strength after a long period of implantation in the body due to hydrolysis, nylon sutures are not recommended for surgery of tissue structures requiring a long suture retention period.
2. Polypropylene
- Molecule: made of non-absorbable synthetic monofilament surgical suture composed of an isotactic crystalline stereoisomer of Polypropylene.
- Advantages:
Elicits a minimal acute inflammatory reaction in the tissue, followed by gradual encapsulation of the suture by fibrous tissues.
It is not subject to any degradation or loss of tensile strength caused by tissue enzymes.
- Indicates:
Used in suturing and joining soft tissues including in cardiovascular surgery, eye surgery, neurosurgery...
3. Silk
- Molecule: the suture is composed of an organic protein called fibroin.