Nonabsorbable Sutures

   
 
Table 6-17 Nonabsorbable Sutures
 
Suture
Configuration
Tensile
Strength
Memory
Knot
Security
Handling
Tissue
Reactivity
Comments
 
Silk
(natural suture)
Braided
 Low Low Good to
excellent
 Excellent High 
Used in mucosa and body folds
  
     
     
  ↑ Capillarity = ↑ infection risk; soft/pliable suture  
     
     
    
 
Nylon (Ethilon)
Monofilament
 High High Poor Poor Low 
 
Nylon (Surgilon)
Multifilament,
braided
 High Good to high Fair Good Low 
 
Polypropylene
(Prolene)
Monofilament
 Moderate High Poor Good Least 
Running subcuticular sutures
    
     
     
  ↓ COF: decreased resistance in tissue  
     
     
 
 
Polyester
(Ethibond)
Braided
 Very high Good Good Good Low 
Mucosal surfaces
 
Polybutester
(Novafil)
Monofilament
 High Low Fair to
Good
 Good Low