Explaining the types of Absorbable Sutures, suture materials, and their characteristics.

1. Absorbable Sutures
Absorbable sutures as the name suggests are
absorbable in nature, which are broken down
within the tissues and absorbed to the body after a
period of time, which can be from ten days to eight
weeks. And hence it is mainly used in the internal
tissues of the body.
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2. - CATGUT SUTURES
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3. CATGUT ABSORPTION
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PLAIN CHROMIC
WOUND
SUPPORT 7 – 10 days 17 – 21 days
MASS
ABSORPTION 60 – 90 days 90 – 110 days

4. – CHROMIC GUT
Made from Sub Mucosa of Sheep Intestine
Chromicising done to ensure tensile strength
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5. CATGUT ABSORPTION
Absorption by Enzymatic action
Absorption is unpredictable
Tissue reaction can occur
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6. CATGUT SUMMARY
Used in soft tissues like subcutaneous fat,
peritoneum, Uterine closure and ligation
DISADVANTAGE
Absorption by Enzymatic action
Tissue Reactions occur
Unpredictable Absorption
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7. SYNTHETIC ABSORBABLE
SUTURES
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8. WWW.SUTURES.IN
COATED TENSILE
STRENGTH RETENTION
100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
60 % on the 7th day
35 % on the 14th day
5 % on the 28th day
Days

9. COATED
WOUND SUPPORT : 28 – 32 DAYS
MASS ABSORPTION : 90 – 110 DAYS
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10. SUMMARY
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Braided
Synthetic
Absorbable
Coating on Hincryl
Strong
Good Knotting and handling
Properties
Few Tissue Reaction
Predictable Absorption
No Foreign body left
Minimizing problems of
multifilament
Knot slides down easily
Minimal Tissue Reaction

11. Applications of
For Obs & Gynaecs –
Procedures –
Hysterectomy (Closing the vaginal vault after removing the
uterus).
C section – To close the uterus after delivering the baby.
General procedures like kidney operation (closure of muscles
of abdominal wall), Repair of incisional and ventral Hernias,
Chest wall closure.
Apart from the above it is also used by Plastic surgeons,
Pediatric surgeons & Urologists.
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12. WWW.SUTURES.IN
HINCRYL
Synthetic absorbable
Polyglycolic acid (PGA) sutures
Pronounced tissue reaction in-
vivo using natural absorbables
Tissue reaction is less using
Synthetic absorbables

13. HINGLACT – Polyglactin 910
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14. Characteristics
Copolymer of lactide and polyglycolide
Synthetic absorbable braided suture
Coated for easy tissue passage, precise knot placement and
smooth tie down
The water repelling quality of lactide slows down the loss of
tensile strength and the bulkiness of lactide leads to rapid
absorption of the suture once the tensile strength is lost.
Causes minimal tissue reaction
Absorption time is 56-70 days
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15. Coated tensile
strength retention
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100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
65 % on the 14th day
15% on the 28th day
Days

16. Applications of Hinglact 910
1) Soft tissue approximation
2) Ligation
3) Ophthalmic procedures
4) Urology (Urinary tract surgery – Closure of the tissues in
the urinary tract to prevent escape of urine to surrounding
tissues)
5) General surgeries
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17. Hidox- Polydiaxonone
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18. HIDOX TENSILE STRENGTH
RETENTION
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100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
70 % on the 14th day
25% on the 42 days
Days
50 % on the 28th days

19. Hinocryl- Polyglecaprolactone
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20. Characteristics
•Hincoryl is a synthetic, monofilament absorbable suture. It is composed
of poliglecaprone 25, which is a copolymer of glycolide and epsilon-
caprolactone. It comes both dyed (violet) and undyed (clear).
•Monocryl has a low tissue reactivity, maintains high tensile strength, and
has a half-life of 7 to 14 days. At 1 week, its in vivo tensile strength is at
50-60% undyed, (60-70% dyed), at 2 weeks its 20-30% undyed (30-40% dyed).
•Completely hydrolyzed by 91–119 days. It is rarely used for percutaneous
skin closure, and is not used in areas of high tension (e.g. fascia).
•It is generally used for soft-tissue approximation and ligation. It is used
frequently for subcuticular dermis closures of the face. It has less of a
tendency to exit through the skin after it breaks down, such as
Polyglactin 910. It is for usage in ophthalmic and microsurgery. Also used
in Gastro intestinal areas, Oral mucosa and bowel anastomosis.
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21. HINOCRYL TENSILE STRENGTH
RETENTION
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100
90
80
70
60
50
40
30
20
10
0 10 20 30 40 50 60 70 80 90 100
70 % on the 7th day
Days
30 % on the 14th day

22. Hinglact Prime Polyglactin 910
Anti-bacterial Sutures
Polyglactin 910, a copolymer of 90% glycolide and 10%
Polylactide coated with Polyglactin 370 and calcium
stearate.
HINGLACT PRIME contains Chlorhexidine acetate a
broad spectrum antibacterial agent with novel
mechanism of action.
Virtues
◦ Superior pliability
◦ Less tissue drag
◦ Complete absorption within 56 to 70 days
◦ Wound Support up to 30 days
◦ Antibacterial activity
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Thank You
HLL Lifecare Limited
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