1. Surgical Suture MaterialBY
RANGANATHAN.D
B.Sc .,Operation theatre technology

2. SUTURE MATERIALS Suture Types of Suture *Absorbable suture
The word "suture" describes any strand of material used to ligate (tie) blood vessels or approximate (bring close together) tissues. Sutures are used to close wounds.
Types of Suture
*Absorbable suture
*Non-Absorbable suture

3. ABSORBABLE SUTURE *MONOFILAMENT
(eg.,polydioxanone(PDS),polyester,copolymer polyglyconate).
Polyglecaprone25(monocryl).
*BRAIDED
(eg.,polygylcolic acid(dexan), lactomer glycolide,polyglactin910)
Catgut.

4. NON-ABSORBABLE SUTURE
MONOFILAMENT
eg., polypropylene(prolene),polyster(ethibond,mersilene,dacron),
Surgical steel.
MULTIFILAMENT
eg.,silk ,cotton.

5. PROLENE(Polypropylene)
Polymer of propylene
Monofilament & non Absorbable
High tensile suturing
Wound healing is good
Primary wound healing

6. Prolene cont…, Avoidance of scarring. Reliability. Synthetic material.
Colour : clear blue.
Biological inert

7. Prolene cont…, Sterilization :ethylene oxide sterilization
Sizes available:10-0 to 2 gauge
Needle type : swaged type( atraumatic needle)
Suture removal :after 9 to 12 days
Available needle type :cutting , taper cutting, conventional cutting , reverse cutting ,blunt needle , round body.

8. Uses of Prolene Used in soft tissue closure & skin closure
Mainly used in cardio vascular surgery & general surgeries , orthopaedic surgery.
Used to fix the prolene mesh in hernioplasty
Within the body cavity, where they will remain permanently encapsulated in tissue.

9. Prolene cont…,

10. Complication of prolene
# .Infection.
# .Sinus formation.
# .Suture extrution .
# .Poorest knot security.
# .Less statisfactory than vicryl,because of stiffness
of the materials .
# .Hernia formation.
# .fascial dehiscence

11. PDS II(POLYDIOXANONE)
Polydioxanone Suture,Polyster polymer.
Synthetic Absorbable suture
Monofilament suture
Violet ,blue in colour
Tensile strength
Post implantation

12. PDS CONT…, Absorption rate:180 days ETHYLENE OXIDE STERILIZATION
AVAILABLE DIAMETERS: 8mm to 110mm
AVAILABLE LENGTH: 70cm,90cm,150cm(loop)
NEEDLE: 1/2 Blunt point ,
½ ,3/8 taper point ,
1/2,5/8,3/8 circle taper point plus ,
½,3/8 reverse cutting , spatulated 5/6 circle
Absorption rate:180 days

13. PDS CONT…, RANGE OF SUTURE SIZE:7-0 TO 2
INDICATION: Indicated when long-term wound support
is needed.
Uses:
Its mainly used in paediatric surgery.

16. Thank You