Monofilament and multifilament sutures

Feature

Monofilament Sutures

Multifilament Sutures

Structure

Single, smooth strand

Multiple strands twisted or braided together

Handling

Slightly stiff, harder to handle

Soft, easy to handle and tie

Tissue Reaction

Less tissue reaction

More tissue reaction

Tissue Drag

Less friction, smooth passage

More friction, may cause tissue trauma

Tissue Reaction

Less inflammatory response

More tissue reaction due to multiple fibers

Knot Security

Requires more knots to stay secure

Better knot security with fewer knots

Infection Risk

Lower (less space for bacteria)

Higher (bacteria can get trapped in gaps)

Capillarity

(Fluid Absorption)

Low (resists bacterial colonization)

High (may wick bacteria)

Examples

• Nylon

• Polypropylene (Prolene)

• Polydioxanone (PDS)

• Silk

• Polyglactin (Vicryl)

• Polyester

Uses

Skin closure, blood vessels, delicate tissues

Internal sutures, ligatures, general surgery


Arpit gupta (from TCML Team)

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