Understanding the classification of suture materials, particularly
absorbable and non-absorbable sutures helps surgeons, nurses, and healthcare
professionals select the most appropriate option for each clinical scenario.
In this comprehensive guide by Aarogyaa Bharat, you will
learn:
- What
suture materials are
- How
sutures are classified
- Types
of absorbable sutures and their uses
- Types
of non-absorbable sutures and their uses
- Key
differences between absorbable and non-absorbable sutures
- Factors
influencing suture selection in surgery
What Are Suture Materials?
Suture materials are thread-like medical devices used to:
- Close
surgical incisions
- Approximate
wound edges
- Secure
tissues after surgical procedures
- Minimize
bleeding and promote healing
Sutures may be placed manually using a needle and thread, or
with specialized suturing devices, depending on the surgical technique and
tissue type.
Why Is Suture Classification Important?
Choosing the wrong suture can result in:
- Poor
wound healing
- Increased
infection risk
- Wound
dehiscence
- Excessive
scarring
Proper classification helps clinicians determine:
- Whether
a suture should dissolve naturally
- How
long tissue support is required
- Whether
suture removal is necessary
Main Classification of Suture Materials
Suture materials are broadly classified into two main categories:
- Absorbable
sutures
- Non-absorbable
sutures
Each type is designed for specific tissues, healing
timelines, and surgical requirements.
Absorbable Suture Materials
What Are Absorbable Sutures?
Absorbable sutures are designed to break down naturally
inside the body through enzymatic action or hydrolysis. They do not require
removal, making them ideal for internal tissues.
Common Absorbable Sutures
|
Suture
Material |
Type |
Typical
Absorption Time |
|
Plain Catgut |
Natural |
7-10 days |
|
Chromic
Catgut |
Natural |
10-21 days |
|
Vicryl
(Polyglactin 910) |
Synthetic |
60-90 days |
|
Monocryl |
Synthetic |
90-120 days |
|
PDS
(Polydioxanone) |
Synthetic |
Up to 180
days |
Common Uses
- Internal
organ closure
- Muscle
and fascia
- Subcutaneous
tissue
- Paediatric
and gynecological surgeries
Advantages
No need for suture removal
Reduced patient discomfort
Suitable for internal healing
Limitations
Limited long-term tensile strength
Not ideal for high-tension skin closure
Non-Absorbable Suture Materials
What Are Non-Absorbable Sutures?
Non-absorbable sutures do not degrade within the body. They
provide long-lasting tensile strength and are either removed after healing or
left permanently when needed.
Common Non-Absorbable Sutures
|
Suture
Material |
Type |
Typical
Use |
|
Silk |
Natural |
Soft tissue
approximation |
|
Nylon |
Synthetic |
Skin closure |
|
Polypropylene
(Prolene) |
Synthetic |
Cardiovascular
surgery |
|
Polyester |
Synthetic |
Orthopedic
procedures |
|
Stainless
Steel |
Metal |
Bone and
sternum closure |
Common Uses
- Skin
closure
- Cardiovascular
and vascular surgery
- Orthopedic
and hernia repairs
Advantages
High tensile strength
Durable tissue support
Minimal tissue reaction (synthetic types)
Limitations
Requires removal in skin use
May leave suture marks if retained too long
Absorbable vs Non-Absorbable Sutures: Comparison
|
Feature |
Absorbable |
Non-Absorbable |
|
Naturally
dissolves |
Yes |
No |
|
Removal
required |
No |
Yes (skin) |
|
Tensile
strength duration |
Short-term |
Long-term |
|
Internal
tissue use |
Ideal |
Limited |
|
Skin closure |
Limited |
Preferred |
|
Patient
comfort |
Higher |
Moderate |
Monofilament vs Multifilament Sutures
Monofilament Sutures
Lower infection risk
Less tissue drag
Harder knot security
Multifilament Sutures
Better knot holding
Easier handling
Higher infection risk
Factors Influencing Suture Selection
- Tissue
type and location
- Expected
healing time
- Wound
tension
- Infection
risk
- Patient
age and health
- Cosmetic
outcome
No single suture material is ideal for every surgical
situation.
How Aarogyaa Bharat Supports Surgical Care
At Aarogyaa Bharat, we support hospitals and clinicians
with:
- High-quality
surgical sutures
- Absorbable
and non-absorbable options
- OT
consumables and instruments
- Trusted
medical education resources
Our focus is on safe surgery, faster healing, and better patient outcomes..
Conclusion
Understanding the classification of suture materials is
essential for effective wound management and surgical success. Absorbable
sutures provide temporary support for internal healing, while non-absorbable
sutures offer durable strength for skin and high-tension areas.
Choosing the correct suture material ensures:
Faster healing
Reduced complications
Improved surgical outcomesIn surgery, the right suture is as important as the surgical
technique itself.


