Kandel EF, Bennett RG. [Medline]. 2010 Jul. [Medline]. Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS. This website also contains material copyrighted by 3rd parties.
190115-overview 1976. Dexon loses approximately 50% of its strength between 2 to 3 weeks. 1989 Feb. 157(2):241-2. J Long Term Eff Med Implants.
[Medline]. J Long Term Eff Med Implants.
[Medline]. Absorbable sutures can be sub-classified into short duration (< 21 days) or long duration (> 21 days).
This design should have less risk of inadvertent needle hole elongation during needle passage and consequently less risk of suture pull-through.
Nylon is second to polypropylene in strength. Comparison of Maxon suture with Vicryl, chromic catgut, and PDS sutures in fascial closure in rats.
PDS is composed of polydioxanone an uncoated, monofilament suture. J Am Acad Dermatol.  With Polysorb sutures, the five-throw surgeon’s knot had a higher cumulative incidence of suture extrusion than the three-throw or four-throw surgeon’s knot (30% vs 17% and 10%, respectively). Considerations in the choice of suture material for various tissues. The Victory stitch: a novel running v-shaped horizontal mattress suturing technique. Caprosyn is composed of Polyglytone 6211 which is a rapidly absorbed, monofilament polymer of glycolide, caprolactone, trimethylene carbonate, and lactide. Obstet Gynecol. Drake DB, Rodeheaver PF, Edlich RF, Rodeheaver GT. Capillarity: The degree to which absorbed fluid is transferred along a suture. 2007 Feb. 33(2):253-5; discussion 255.
[Medline]. 2005 Feb. 123(2):284-8.
[Medline]. 47(4):290-3. Ann Thorac Surg. Procedures, 2002 J Emerg Med.
Yag-Howard C. Novel surgical approach to subcutaneous closure: the subcutaneous inverted cross mattress stitch (SICM Stitch).
[Medline]. Surg Innov. 1994 Mar. Monocryl is composed of poliglecaprone 25 which is a rapidly absorbed monofilament co-polymer of ε-caprolactone and glycolide.
[Medline]. Polypropylene is a monofilament polyolefin suture. Krishnamoorthy B, Najam O, Khan UA, Waterworth P, Fildes JE, Yonan N. Randomized prospective study comparing conventional subcuticular skin closure with Dermabond skin glue after saphenous vein harvesting. 1203475418782152. 2007 Aug. 33(8):966-71. [Medline]. [Medline]. Needle is placed vertically and longitudinally perpendicular to needle holder. Demyttenaere SV, Nau P, Henn M, Beck C, Zaruby J, Primavera M, et al. 2019 Feb. 45 (2):216-222. Ann Plast Surg.
2009 Jun. 2011 Oct. 37(10):1503-5. PDS-Polydioxanone suture an antibacterial coated sterile suture used in abdominal wall closure, fascia, etc. Dermatol Surg. 1993 Oct. 19(10):923-31.
Many multifilament sutures are treated with a coating to improve suture handling and decrease tissue drag and capillary action; however, these coatings frequently decrease knot security. Kromka W, Cameron M, Fathi R. Tie-Over Bolster Dressings vs Basting Sutures for the Closure of Full-Thickness Skin Grafts: A Review of the Literature.
Pediatr Surg Int. [Medline]. Subcuticular stitch.
Non-absorbable sutures despite been classified as non-absorbable are frequently susceptible to degradation and can lose tensile strength over time. 142(5):343-8.  The loops were secured with three-throw knots in one pig, four-throw knots in the second pig, and five-throw knots in the third pig. Bechara FG, Al-Muhammadi R, Sand M, Tomi NS, Altmeyer P, Hoffmann K. A modified corner stitch for fixation of flap tips. House, BSc, BVMS, PhD, Cert SAS, DECVS J Surg Res. CAPROSYN*, another major advance in synthetic monofilament absorbable suture.
It absorbs lately up to 90 days. 23 (6):580-585. A collective review of its performance in surgical wound closure. Vicryl loses approximately 50% of its tensile strength between 2–3 weeks. (B) Conventional cutting needle. Moody BR, McCarthy JE, Linder J, Hruza GJ. practice session, PDS-Polydioxanone suture an antibacterial coated sterile suture used in abdominal wall closure, fascia, etc.
11(1-2):29-40. 2003. Monocryl has identical knot performance compared with Vicryl, similar performance to PDS, and lesser performance compared with Maxon. [Medline]. 2009 Dec. 25(12):1123-5. Commonly used suture needles, with cross-sections of needles shown at point, body, and swage. Needle holder is held in palm, allowing greater dexterity. 2001.
Sutureless closure of the upper eyelids in blepharoplasty: use of octyl-2-cyanoacrylate. Cellular, histomorphologic, and clinical characteristics of a new octyl-2-cyanoacrylate skin adhesive. J Am Acad Dermatol. (C) Needle holder that is too small for needle—needle rotates around long axis of needle holder. 2004 May-Jun. A beveled, conventional cutting edge surgical needle: a new innovation in wound closure. [Medline]. Alam M, Goldberg LH. Polysorb had the best knotting characteristics compared to Dexon and Vicryl. JAMA Dermatol. Monofilament suture tends to be less pliable and higher memory which can reduce the handling properties. Review of continuous sutures in dermatologic surgery. Vicryl is composed of a multifilament braided copolymer of 90% glycolide and 10% L-lactide and is coated with calcium stearate and polyglactic acid to improve its handling characteristics.
It has no measurable strength after 3 weeks. It absorbs lately up to 90 days. Multifilament sutures are generally stronger and more pliable than a monofilament of the same material and size.