Sutures have certain Characteristics of the ideal suture, the rate of absorption, materials made, physical condition, etc Characteristics of the ideal suture 1.Tensile strength
2. Elasticity
3. Capillarity, and memory
4. Retention of the Suture
5. Absorption quality
6. Bioactivity
7. Pliability
Tensile strength
The force needed to break the Suture. The knot of the suture decides the correct tensile strength of the future
The diameter of suture increase likewise tensile strength of suture also increases
The tensile strength of the suture influenced by the different types of character
knot security
Resistance, etc
Elasticity
Versatility the fundamental character of a suture to control to its typical length when stretches
Good flexibility suture modify when tissue hypertrophied and restriction when the injury recuperate
Capillarity, and memory
Capillary of suture decide the infection rate of the wound
The monofilament suture doesn’t allow the capillary action in a suture, but multifilament allows the suture to absorbs the moisture and holds the body fluids.
High capillary action enhance the spread of bacteria easily and causes infection
Suture with low capillarity enhance the surgery in infection control, because of that low capillarity suture preferred
To avoid the capillary action in multifilament
Some of them use
Paraffin or jelly
Multifilament coated with beeswax or antibacterial coated to reduce infection
Memory
The memory of suture same like elasticity that retains in normal shape as packed
Some times scrub hold artery forceps at the end of the suture to hold due to the good memory
Retention of the Suture
Retention of suture describes the tendency to hold the tissue for a long time
Structure of suture
Braided/Multifilament suture
In general, braided sutures are more prone to infection and induce a greater degree of tissue reaction. The advantages of braided suture include ease of handling, low memory, and increased knot security.
Monofilament suture
A monofilament suture is a single filament material. The suture has decreased the tendency of infection, ease of passage through tissue, and ease of removal. They possess poor handling characteristics and decreased knot security
Absorption quality
The suture takes time to absorbed by the tissue by lysosomal action of cellular enzymes and resistance to digestion. This can compromise the appearance of the scar.
Bioactivity
Effect of the suture on the tissue, the material made decides the suture quality of the suture
Pliability
Soft and non-resistant to any materials. It is easy to handle the suture for suturing and gives flexibility to the suture