Sutures, types, and their user in different conditions

This PPT is about sutures and thir aim type categories and other important information.

1. 
Presented by
AmanSingh
department of
OT technician
SUTURES

2.  What is sutures ?
▪Sutures are stitches are material used to close a wound.
▪FEATURES OF SUTURES.
▪Material: Options include absorbable and non-absorbable materials like
silk, nylon, and polyglycolicacid.
▪
▪Structure: Sutures are either monofilament (single strand) or multifilament
(multiple strands), impacting flexibility and infection risk.
▪
▪Absorbability: Choose between absorbable (self-dissolving) and non-
absorbable (requiring removal) sutures.
▪
▪Size: Varied gauges cater to different tissue types, with finer sutures for
delicate tissues and thicker ones for stronger closure.

3. 
TYPE OF SUTURES
■■Absorbable and Non-absorbable
■Monofilament and multifilament

4. TYPES OF SUTURES
▪• Absorbable suture: The absorbable ones get dissolved in the
body on their own and do not require removal.
▪ CATGUT • POLYGLACTIN • POLYGLYCONATE • POLYGLYCOLIC ACID • POLYDIOXANONE (PDS) •
POLYGLYCAPRONE
▪Non absorbable suture: The non absorbable ones have to be
removed after specified time. The type of suture is decided
again by the location of the wound.
▪SILK • LINEN • SURGICAL STEEL • NYLON • POLYESTER • POLYBUTESTER • POLYPROPYLENE

5. MONOFILAMENT SUTURE
▪Monofilament sutures are single-stranded threads, like nylon or
polypropylene, featuring a smooth surface that minimizes
infection risk.
▪Ideal for delicate tissues, they reduce tissue reaction and are
less prone to harboringbacteria compared to multifilament
sutures.

6. 
MULTIFILAMENT SUTURE
▪Multifilament sutures consist of several strands twisted together,
offering flexibility.
▪Common materials include silk and polyester. While more
pliable, they may increase the risk of infection compared to
monofilament sutures.
▪Multifilament sutures are suitable for areas requiring flexibility
but demand careful handling for infection control.

7. 
NON ABSORBABLE TYPES
▪Silk.Absorption rate: slowly over 1-2 years •
▪USES. Silk sutures are widely used asligatureand are also used for other applications like skin, ophthalmic, GI tract.
▪LINEN • NON-ABSORBABLE
▪ USE: ligation and suture in GI surgery •
▪ NYLON• degrades at 15-20% per year • NO CONTRAINDICATIONS
▪ USES: General surgical Uses • Skin closure • Abdominal wall mass closure • Hernia repair • Plastic surgery • Neuro surgery •
Microsurgery • Opthalmicsurgery
▪ POLYESTER• TENSILE STRENGHT: INFINITE • Non Absorbable; • NO Contraindications • USES: Cardiovascular, ophthalmic,
plastic and general surgery
▪ POLYBUTESTER • Same properties as of polyester •
▪ USE: Plastic Surgery
▪ POLYPROPYLENE • Properties same as polyester
▪ • USES: • Cardiovascular surgery • Plastic surgery • Ophthalmic surgery • General surgey•

8. 
ABSORBABLE SUTURES
▪CATGUT(Plain type) • ABSOPRTION: degradation within 7-10 days
▪USES: • Ligate Superficial vessel, sutures, subcutaneous tissues, Stomas and other tissues
which heal rapidly.
▪POLYGLACTIN•ABSORBABLE SUTURES
▪USES: • general surgery , Opthalmicsurgery. Gynecological, gastro intestinal tract surgery
▪POLYGLYCONATE • absorbable sutures. Completely absorb in 180 days
▪USES. Short term wound support, soft tissue and ophthalmic surgery
▪POLYGLYCAPRONE • ABSORPTION RATE: 90-120 days •
▪USES: • Subcuticularin skin ligation • GI surgery • Muscle surgery

9. 
▪POLYDIOXANONE (PDS) :: absorbable sutures. Completely
absorb 180 to 210 days.
▪USES. General Surgery, GynecologicalSurgery, Cardiac Surgery,
OrthopedicSurgery, Plastic and Reconstructive Surgery, Dental
Surgery.
▪POLYGLYCOLIC ACID (PGA) SUTURES typically have a relatively
short absorption time, often ranging from 60 to 90 days.
▪USES. General surgery, Gynecologicalsurgery, and soft tissue
approximation, including ophthalmic procedures. They are not
indicated for cardiovascular and neurological tissue approximation.

10. 
▪Thanks you ??????