Surgical sutures

-
-

-

/
stright






 II - Needle swage

swage




1- channel swage


.
 2- drill swage

3- double eye

spring eye French eye

 4- regular eye

 IV- Needle point

- cutting needle
cross
section





.

-2 rounded bodied
needle






.
 - blunt taper point





.


 Sutures history

catgut .


.







)(
 " "

" " .



" "

)(catgut


.
" "


carbolic catgut 1860
cromic catgut

.
1906 .






Polyvinyl alcohol
poly ester
.
Polyglycolic acid
1970



catgut


.
 1-Silk Sutures

nonabsorbable
multifilament
threads





waxes
fibroin
Bomyx mori

Family Bomycidae




- 1
- 2

- 3

Mersilk Ethicone
- 1



 Silk Assut Sutures
-

-

Softsilk Synture
-













.

-

/
,




1/0 / /

 2-Catgut Sutures

Absorbable

.
Origin





cat

.
 cattle gut

cat


Kit

.




Blunt knife



.



!!


Chromic gut
-1

Chromic gut
-2
chromic Catgut Sutures
-3

1- chromic catgut





2- Plain catgut

chromic acide

Harp

:





- -

6-0



Absorbable Suture
1- Polyglycolic acid sutures
2- Polyglactine sutures
3- Poliglecaprone sutres
4- Polydiaxanone Sutures
5- Polyglyconate sutures

Non absorbable sutures

1- Poly (hexafluoropropylene-VDF) Suture
2-Polyester Suture
3-Nylon Suture
4- Polypropylene Suture
5-Polybutester
 1-Polyglycolic acid
sutures
PGA

%

(C2H2O2)n

PGA

multifilament


%
%

hydrogenolysis
60-90






Polyglycolic Acid
-1

Demetech.com
wikipedia.com
 2-Polygalctin 910
\

910

Absorbable

glycolide %
L-lactide %

utylenes
Polyglactine 910

(C2H2O2)m(C3H4O2)n


%

%

-1

- 2
- 3
-4


-5
-6

-7





.

Vicryl
-1
) (






Vicryl plus

Polyglactin
-2

 Polysorb
-

.
 3-Poliglecaprone
Sutures

copolymer
glycolide
epsilone-caprolactne
%

poliglecaprone 25



utylenesnt

.



% -

% -
: -
%
% -

-
.


 Monocryl sutures
-1

brand name


) (


Monocryl plus





staphylococcus aureus
staphylococcus epidermidis
methicillin resistant aureus
echerichia coli
klebsilla pneumoniae










 Poliglecaprone
-2

Ecataloge.ethicone.com
ethicon360.com
demetech.com
 4- Polydioxanone
Sutures

monofilament

-
p-dioxanone

) (



-

% -
% -

-



-1
-2 .

-1

-2
-3
-4 .

PDS II
-1

Brand name

Polydioxanone
-2


wikipedia.com
demetech.com
dolphinsutures.com
ethicon.ocm
 5-Polyglyconate
sutures

monofilament

Glycolic acid

Trimethylene carbonate

% -----
% ------
% -----
180-210 ----

 -1
-2



-1
-2
-3
-4






PDS II

Maxone




Fbnotebook.com
Syneture.com


-
-
-
-
-
1-Poly (hexafluoropropylene-
VDF) Suture

from polymer blend of polyvinylidene
fluoride and polyvinylidene fluoride-co-
.hexafluoropropylene

..

PRONOVA

) (

Ethicone360.com
Ecatalog.ethicone.com
 2- Polyester sutures

)Poly (ethylene terephthalate

polybutylene adipate






-

-
-

 -
-
...

-
-
-
-

1-Ehipond Excel








Mersilene
 2-Polyester

coated

 3-Surgidac & Ti.cron


Fbnotebook.com
Syneture.com
Wikipedia.com
Ethicone360emeia.com
Sino-mediacals.com
Demetech.us
 3-Nylone Sutures

Origin

Nylone 6 And Nylone 6.6

Monofilament

Multifilament


%
...

-
-


-

-
-

Ethilone



Monofilament


Nurolon sutures
 Nylone




 Dermalon & Monosof

soft tissues


Demetech.com
Wisegeek.com
Ehticone360.com
Syneture.com
 4- Polypropylene
sutures

Nonasorbables
monofilament








monofilament


.

-1
- 2
-3
-4

-5

Prolene
-1

&


isotactic crystalline steriosomer
of propylene
Polypropylene
-2

 Prodek
-3

polypropylene
-4

Assute Sutures
) (
Sergipro
-5


Demetech.com
Syneture.com
 Ploybutester

Origin

-



 copolymer of
utylenes
terephthalate and
polytetramethylene ether glycol

-



-
Hydrophobic -

hydrolysis

Novafil




3-vascufil


Syneture.com

Author

Ph. Ahmed badreldin Farghaly

Supervisor in Future-Pharmacist.com
With nike name Copacabana
copacapana_copacapana@yahoo.comE-mail:
Electronic Blogsopt
ahmed-badreldin.blogspot.com