Absorbable sutures are surgical sutures that are preferred to provide continuous tissue support. Since non-absorbable sutures are permanent, these sutures must be removed from the surgical area.
Non-absorbable suture can have various structural properties. Various types including multifilament, monofilament, natural organic, nylon, stainless steel wire can be used by the surgeons. Silk is the most preferred non-absorbable suture among natural organic sutures. Silk that has a multifilament structure is a suture material used for a long time. Silk suture management is and the suture can easily be bent or twisted. The suture punctures the tissue well. The knot security is perfect. This surgical sutures are used in various surgical purposes such as palm, sole, mucosa, and intertriginous areas with soft and comfortable structure. Although it is assumed that this is a non-absorbable suture, the suture loses 50% of the tensile strength in one year.
Another multifilament suture material has the ethylene terephthalate (polyester) structure coated with polybutylene. Polybutylene coating is lubrication; this prevents absorption and decreases reaction. In addition to dermatological surgery, these sutures are used in cardiovascular surgery, ophthalmalgia, and neurosurgery.
Synthetic materials have been developed since the end of the first half of the 21st century. One of these materials is nylon. Nylon suture has monofilament structure and causes minimal reaction in the tissue. Another monofilament non-absorbable suture material is polypropylene developed in the 1970s. Polypropylene sutures can easily pass the tissue and create minimal reaction. The knot security and suturing management is similar to nylon material. Since the suture is dyed to indigo, it is easier to see the material.
Non-Absorbable Suture Usage Area
Due to various types, non-absorbable suture is versatile. This leads a wide range of usage areas for non-absorbable suture. Today, there are numerous non-absorbable suture types. It is possible to find multifilament and monofilament. Multifilament is formed by braiding multiple fibre thread. Monofilament sutures have single thread. You can read our monofilament and multifilament suture review from here. The main usage areas of non-absorbable suture are as follows:
- Cardiovascular surgery
- Skin closures
- Ophthalmic surgery
- General soft tissue closure and/or connecting
- Hernia surgery
- Plastic and reconstructive surgery
- Gastrointestinal surgery
Boz Medical Non-Absorbable Sutures
Boz Medical as the first medical consumables manufacturer in Turkey manufactures non-absorbable suture with 70-years of experience and modern facilities that can be easily used. The company manufactures 10 different types of non-absorbable sutures including polyester, nylon, silk, stainless steel wires, polypropylene, polymer and polytetrafluoroethylene. You can view Boz Medical non-absorbable suture from the table below.