A surgical suture is a small, thin length of line used by
surgeons to seal wounds following surgery or an inadvertent break in the skin.
Sutures are packaged in sterile packaging to prevent infection. Sutures can be
made from animal tissue (surgical gut), special silk, synthetic materials, or
stainless steel, depending on the medical use. Brands of medical suture include
Ethicon suture, Covidien suture, and Autosuture. Suture needles are used to
insert sutures into tissue.
Some sutures are absorbable, while other sutures are non-absorbable. Absorbable
sutures can be made from ovine (sheep) or bovine (cow) tissue or from synthetic
materials designed to break up after they have served their purpose. The
material used, and how the material has been processed, determines the time
line of disintegration for the suture. A benefit of absorbable sutures is that
the patient does not have to return to have the suture removed. Absorbable
sutures also are useful for sealing interior wounds. Sometimes surgical gut can
result in inflammation caused by immune system response to the material.
Chromatic gut is surgical gut that has been processed to limit the incidence of
inflammation.
For certain procedures and conditions, non-absorbable sutures can be used.
Materials used to make non-absorbable sutures include nylon, polyester, polypropylene,
silk, or stainless steel wires. For wounds in the skin, these sutures can be
removed after 2-3 weeks - when healing is sufficient. Non-absorbable sutures
provoke less immunological resistance than absorbable sutures, so they can be
used to limit the incidence of scarring. Non-absorbable sutures are preferred
for certain internal surgical procedures in which absorbable sutures are not
well suited. In some cases, non-absorbable sutures are removed after healing,
while in other procedures, the sutures remain in the patient on a permanent
basis. Besides sutures, there are other forms of wound closure, for example
surgical meshes such as Covidien mesh and staples. One manufacturer of wound closure
options is Ethicon wound closure.