Prolene suture vs vicryl INTRODUCTION The length of a hospital stay is a key measure used to evaluate Failure load of PDS, Prolene, Silk and Vicryl, gauges 2-0 & 3-0, when pulled at different rates using Tytron system. Aim and Objectives To compare the use of 1-0 vicryl and 1-0 prolene for What to Consider When Choosing PDS Suture vs. Vicryl: (polyglactin) Absorbable, synthetic, braided suture. The choice in suture material used for abdominal wall closure is not straightforward and the conflicting literature focuses on clinical outcomes. Subcuticular sutures should be placed as deeply as possible in order to minimize the erythema and induration normally associated with adsorption. 9% of cases in the prolene and vicryl groups leaked following anastomosis. When and where should you use prolene? What about nylon suture threads? We will end with the latest on antibiotic use in hand injuries. When it comes to understanding suture packages, it’s essential to decipher the information listed on them accurately. Prolene demonstrated the lowest incidence of bacterial growth (p<0. 4% of patients in the prolene group and none in the vicryl group died due to trachea-related complications. Fig (4): scar of prolene suture and vicryl suture after 1 year is better in vicryl than prolene. com Ils sont particulièrement utiles pour les sutures internes ou les plaies qui guérissent rapidement. Common Absorbable Sutures - Long Duration Apr 9, 2024 · The selection of sutures can impact patient comfort and scar outcomes, presenting both advantages and disadvantages. 5-fold higher expression of clec10A in PDS compared to Prolene after 7 days (p = 0. Ces fils se décomposent progressivement, généralement sur une période de quelques semaines à plusieurs mois, selon le type spécifique utilisé. natural; Monofilament vs. Non-Absorbable Sutures. Theoretically vicryl gets absorbed faster than prolene. 8%. Abdominal wound closure: a trial of Prolene and Dexon. Conclusion: In our paediatric samples, we analyzed and concluded that prolene suture was better as compared to vicryl in terms of pain and infection. 006, Prolene vs PDS NS. 685. Vicryl: buried, loses strength 21d. Nov 24, 2023 · More bacterial quantities were found in the silk group followed by the monocryl, vicryl plus, and prolene groups in the descending order. The subcuticular absorbable sutures and surgical staples in cesarean wound closure were compared in the literature. multifilament; Size; Absorbable Sutures vs. Of the three suture materials used in Vasanthan’s study, the vicryl sutures had the highest tensile strength at baseline, but it decreased rapidly over time . Uncoated Dexon has a greater knot security compared with Vicryl. 1978;113(4):477–480. 45,46 The use of nonabsorbable sutures is supported by the argument that absorbable sutures may leave the wound unsupported before it has sufficiently regained its intrinsic strength. While both have their advantages, understanding the differences between these two… Conclusion: Closure of a mid-line laparotomy wound can be done by using either Prolene or Vicryl suture material, with either continuous or an interrupted fashion. 4%) . Feb 18, 2023 · Common examples of absorbable sutures include chromic gut sutures, polyglycolic acid sutures, plain gut sutures, and vicryl sutures. While both are synthetic absorbable sutures, they have distinct characteristics that can influence their performance in different clinical scenarios Feb 25, 2021 · Time to pain disappearance was longer in the nonabsorbable monofilament suture vs the absorbable braided suture group (115. Again, the name here is relatively self-explanatory; non-absorbable sutures are those that will not break down and be absorbed by the body over time. 3 days; 95% CI, 88-142. 011, respectively). Conclusion: We infer that vicryl is comparably better than prolene in causing No hematoma, keloids and suture breakage were observed in both the sutures. For example, as a rough guide, a mass closure of a midline laparotomy may warrant use of PDS, a vascular anastomosis will probably require prolene, a hand-sewn bowel anastomosis may need vicryl, and securing a drain may need a silk suture. Notably, 18. Cameron AEP, Gray RCF, Talbot RW, Wyatt AP. I actually prefer the monocryl suture but I haven’t been able to get my hands on a reverse cutting needle, only taper top: problene, nylon Low tensions (ie forearm) deep 4-0: monocryl, vicryl top prolene Face deep 5-0: vicryl, vicryl rapide, monocryl, sometimes no deep May 10, 2019 · Due to insufficient available data regarding the best suture materials for cesarean skin closure, we conducted a study “to compare the efficacy of 2 suture materials non absorbable prolene 2-0 and absorbable suture vicryl (2-0), brand Ethicon as subcuticular skin stitches in women undergoing elective cesarean section. Absorbable vs Non-absorbable. Two commonly used synthetic sutures are Monocryl and Vicryl. 01370160135023. Aug 29, 2024 · How to Choose Between Vicryl vs Monocryl for Surgical Procedures Choosing the right suture material is crucial for achieving optimal wound healing and minimizing complications. ii. Vicryl is often a good choice here because it provides long-term tensile strength and has a mid-range absorption time, which reduces Feb 5, 2015 · Dyed Vicryl suture. Sutures that lose the majority of their tensile strength within 60 days are considered absorbable. Absorbability: Vicryl is absorbable, while Prolene is non-absorbable. 3-100. Methods. Next, we have non-absorbable sutures. Absorbable sutures eventually break down and are eliminated by the body via enzymatic degradation or May 20, 2019 · Purpose An incisional hernia occurs frequently after a midline incision with an incidence of 12. i. Understanding how PDS vs Prolene… Oct 8, 2009 · Absorption is minimal for 40 days and complete in 56-70 days. Treating the high deeps 3-0, order of preference: pds, monocryl, vicryl. May 15, 2017 · If the galea is lacerated more than 0. On the other hand, the braided nature of the silk suture allows surface debris and bacterial accumulation, resulting in inflammation of the surrounding wound . • The Prolene suture is then passed through the suture loop and pulled to the front. 9% of the obstetricians preferred to close skin with subcuticular sutures using Prolene (41. non-absorbable; Synthetic vs. 7 vs 77. 4 days; 95% CI, 54. While names like Vicryl, Prolene, and Monocryl might seem like mere Tully et al. Vicryl™ and Prolene™ 5-0 sutures were tied in knots of three, four, and five throws, across twelve Mar 1, 2011 · In all, 11 strands of size 2-0 poliglecaprone suture (Monocryl; Ethicon, Inc, Somerville, New Jersey), polypropylene suture (Prolene; Ethicon, Inc), silk suture (Ethicon, Inc), polyglycolic acid suture (Vicryl; Ethicon, Inc), and antimicrobial polyglycolic acid suture treated with triclosan (VicrylPlus; Ethicon, Inc) were immersed in a broth of Staphylococcus aureus engineered to emit photons. • Holds knots better than other synthetic sutures • Minimal tissue reaction; used in contaminated and infected wounds • PROLENE sutures do not adhere to tissue • Efficacious as a pull-out suture. A size 3-0 Vicryl Rapide (gamma-irradiated polygalactin 910) suture on a 19mm 3/8ths of a circle cutting needle. Murray DH, Blaisdell FW. Has a wide variety of uses, from vascular ties to suture of subcutaneous tissue. May 16, 2025 · To determine whether the use of multiple throws of double overhand (surgeon’s) knots or single overhand knots affects the knot's tensile strength and the elongation of the suture’s loop with Vicryl™ and Prolene™ sutures. This common but complex procedure has demonstrated advancements with Apr 14, 2025 · Ethicon vs Competitor Sutures: Why Suture Selection Is Critical for Your Medical Practice. Included all male patients aged 18 years to 70 years with direct or indirect inguinal hernia . Each has its own unique properties and applications that can significantly influence recovery outcomes. 5 years and underwent surgery using propylene sutures Semi-quantitative scoring of the presence of macrophages at 7 days and 21 days follow-up per suture type. The suture material you select directly impacts patient outcomes, surgical efficiency, and ultimately, your practice’s bottom line. Absorbable sutures are generally used as deep sutures; they do not need to be removed post-operatively. 1%), Vicryl (17. Feb 5, 2015 · Bottom line: When sutures are indicated in a deep laceration, the judicious use of interrupted, absorbable sutures (e. g. Keywords: Inguinal Hernia, Lichenstein Repair, Prolene Mesh, Vicryl Mesh. Conjunctival and vaginal mucosal sutures remaining in place for extended periods may be associated with localized irritation. The braided absorbable suture material included Numbers 2-0,0, and 1 Vicryl (Ethicon, Somerville, NJ). showed that 73. 006, PDS vs Vicryl p = 0. Understanding how these materials impact wound healing can significantly affect patient outcomes. Each group consisted of eight samples. Polypropylene suture (Prolene, Ethicon, INC. In the high-stakes environment of a surgical center, every detail matters—especially when it comes to wound closure. Arch Surg. 001, p=0. This reduces bacterial adherence, improves handling and knot tying and allows the suture to pass through tissues smoothly without snagging. Importantly, 9. 1978. When it comes to choosing sutures for wound closure, the selection between Monocryl and Vicryl can be critical for the outcome of a surgical procedure. Another similar suture material is made from polyglycolic acid and coated with polycaprolate (Dexon II). Understanding the primary differences between Vicryl and Prolene sutures will help surgeons choose the appropriate suture type based on the surgical procedure and desired outcomes. Two popular options in the surgical field are PDS (Polydioxanone) sutures and Vicryl (Polyglactin 910) sutures. Jan 1, 2021 · prolene sutures vs 0 patient with severe discomfort at vicryl sutures trimming and this was . Prolene In group 1 mesh fixation done with Vicryl while in group 2 prolene was used. polyglactin sutures were placed instead of prolene sutures and hence routine usage of polyglactin sutures to fix a mesh is a safe and effective alternative to polypropylene sutures in Lichtenstein hernia repair. Previous reports have led to debate as to whether incisional site hernia is most effectively avoided using nonabsorbable sutures or those that are absorbable. 39 Skin can be repaired using staples; interrupted, mattress, or running sutures, such as 3-0 Apr 14, 2025 · Clinical Scenario Recommended Primary Suture Alternative Options Key Considerations; Facial laceration (superficial) 6-0 nylon or polypropylene: 6-0 fast-absorbing gut The PDS suture knots must be properly placed to be secure. 1001/archsurg. Apr 6, 2025 · When deciding between Prolene and Vicryl, there are several factors to consider: Type of Surgery: Prolene is often preferred for long-term wounds requiring durable closure, while Vicryl is best for temporary support where absorption is beneficial. May 29, 2025 · Some absorbable sutures (eg, polyglactin 910 [Vicryl] and poliglecaprone 25 [Monocryl]) handle well during suturing, while others can break easily (eg, fast-absorbing gut) or are more difficult to handle (eg, polyglycolic acid [Dexon sutures], polydioxanone [PDS], or polyglyconate [Maxon]). 007). Fig. a. They are degraded by tissue enzymes or hydrolysis. 001) compared to vicryl plus, monocryl, and silk sutures. Let’s break down the key elements you should pay attention to:First and foremost, take note of the type of suture being used. At 7 days: p = 0. This yielded a total of eleven suture materials for testing. Both materials have distinct characteristics that make them suitable for specific applications. In the first group, the suture material was polyglactin (910-Vicryl ® group), while, in the second group, it was (PDS group), and it was polypropylene (Prolene ® group) in the third group. Choosing the right suture material is crucial for successful wound healing. 003) and PDS (p = 0. 5%) followed by dexon (13. Experience with 650 consecutive cases. In this guide, we’ll explore the pros and cons of different types of surgical sutures, helping you make informed decisions in the operating room. The large array of new sutures, staples, tapes, and topical adhesives can make the proper choice for closure a challenge. How PDS vs Prolene Suture Compares in Surgical Applications Surgical sutures are critical in wound closure and tissue approximation, significantly impacting healing and patient outcomes. [Google Scholar] 14. Among the various materials available, PDS (polydioxanone) and Prolene (polypropylene) sutures have emerged as popular choices in the medical community. , Vicryl) can relieve skin tension, ease closure and improve ultimate cosmetic outcome. 8% and 2. 1, Ethicon Oct 19, 2023 · Subdivided vicryl and prolene patient demographics. Used for securing meshes (3-0 /2-0 prolene ), vascular anasatamoses / repairing vessel (5-0/6-0 smaller sizes typically used, 4-0 may be used in the aorta) where permanence is key. The patients with comorbidities, presents in emergency and complicated hernia cases were excluded. 3. • Widely used in plastic and cardiovascular surgery • Will not lose tensile strength over time “for up to 2 years” Prolene suture Suture application varies for different tissues, different patients, and different circumstances. 257, at 21 days: Prolene vs Vicryl p = 0. This study is to compare the efficacy of vicryl and prolene for rectus closure by studying the occurrence of Burst Abdomen following their usage. Bacterial colony count was highest in the silk group. Success was positively correlated with scar r = 0. A free large curve needle is used to pass the Prolene suture from one side of the tongue base at the exit point of the Prolene suture to the exit point of the suture loop (Fig. keloids and suture breakage were observed in both the sutures. Results: In vicryl group, there was significantly less ecchymosis and edema first week postoperatively in interrupted sutured eyelid than running sutured eyelid (p=0. Continuous technique is time saving and delayed absorbable suture (Vicryl) Aug 10, 2000 · In the patients assigned to undergo repair with sutures, the two edges of the fascia were approximated in the midline, usually with a continuous polypropylene suture (Prolene no. Keywords: Absorbable sutures, Day-case surgeries, Non-absorbable sutures, Prolene, Vicryl. Braided/multifilament: vicryl, vicryl rapide. Pediatric nail bed laceration and finger laceration. The results from the present investigation together with the results from clinical investigations are discussed in relation to the incidence of wound The subjects were examined in three groups according to the suture materials used. Jun 29, 2024 · Surgical sutures play a crucial role in wound closure and healing. A size 4-0 nylon suture on a 60mm straight reverse cutting needle. There are three types of Vicryl sutures: Standard Vicryl is coated with polyglactin 370 and calcium stearate. 46 BiosynTM Suture CaprosynTM Suture VICRYLTM (Polyglactin 910) Suture Braided Dyed & Undyed 28 days 56 - 70 days PolysorbTM Suture PDSTM II (Polydioxanone) Suture Monofilament Dyed & Undyed 42 days 182 - 238 days MaxonTM Suture NON-ABSORABLBE PROLENETM (Polypropylene) Suture Monofilament Blue / Clear Indefinite Permanent SurgiproTM Suture Suture material (either 6-0 polypropylene sutures or 6-0 vicryl sutures) were evaluated independently. 1) Absorbable: braided/multifilament, monofilament. 491 operations in 416 patients were performed using absorbable 6–0 Coated Vicryl® polyglactin 910 sutures to attach the tarsal strip to the Nov 21, 2024 · For the absorbable sutures, note that there is often a discrepancy between when the suture loses its strength and when the suture actually absorbs/falls off. 038 Wound healing times & tensile strength Ethicon Absorbable Sutures Wound Closure 10 days 21 days undyed 28 days dyed 28 days 42 days By 42 days 91 - 119. The one-way ANOVA (Table 1) reveals that there is a statistically significant difference between the groups in total colony count, and the post-hoc Tukey test (Table 2) reveals a statistically significant difference among the groups with prolene demonstrating the lowest count and Mar 10, 2021 · The suture type chosen vary much depends on the clinical scenario. </br> <b><br>Aim:</b> This study was conducted to compare the cosmetic outcomes of the use of absorbable polyglactin 910 (PG) (Vicryl Rapide 5/0; Ethicon Inc. FiberWire is made with a core of several small individual strands of biocompatible polyethylene covered with braided polyester suture material. 5%), and staples (10. The major subdivision of sutures. Vicryl. doi: 10. Nylon vs. 3; p = 0. 006) and more foreign body giant cells compared to Prolene at 7 days (p = 0. 7% and that of Prolene was 93. 001). Apr 9, 2024 · Introduction: Septorhinoplasty aims to enhance nasal function and appearance. ) and nonabsorbable polypropylene (PP) (Prolene groups. In the world of surgical precision, the choice between Prolene suture vs Vicryl is not just a technicality: it is a real call that directly affects healing time, infection risk, and procedural success. Apr 2, 2024 · Sutures are available in many different materials, and the following characteristics classify them: Absorbable vs. Nov 8, 2017 · A size 4-0 Prolene (polypropylene) suture on two 22mm 1/2 circle taperpoint needles. Apr 21, 2024 · The first installment is all about suture and how to get comfortable with them. Polyglactin 910 (Vicryl) composed of copolymer of glycolide and epsilon-caprolactone; rapidly absorbable by hydrolysis loses tensile strength quickly (50 % within 7 days) The Vicryl group showed a higher presence of macrophages after 21 days in comparison with Prolene (p = 0. Le vicryl et le monocryl sont des exemples populaires de fils résorbables. The failure loads of Vicryl sutures, gauges 5-0 to 0 USP were also reported using the USSC system to identify variability between data recorded by the Tytron system vs. 5 cm it should be repaired with 2-0 or 3-0 absorbable sutures. This review of the available materials for skin closure, and their biomechanical properties, advantages, and disadvantages, creates a structure for better understanding of the The investigation further showed that if Vicryl suture was used instead of Prolene of the same USP size, the sutures did not contribute to the strength of the rectus wounds on the 15th day. data recorded using the USSC set-up. Publishers Panel - otolaryngologypl. Use of synthetic absorbable sutures for abdominal and chest wound closure. Two of the most commonly used synthetic absorbable sutures are Vicryl and Monocryl. This study compares a non-absorbable, slow-absorbable and fast-absorbable suture in a rat model, focusing on histological outcomes predicting better Advantages and Disadvantages of Monocryl Suture vs Vicryl in Wound Closure. 44. qPCR showed 2. When tested against Vicryl, Mersilene, silk, nylon and Prolene, Dexon has the highest breaking stress. These sutures cause only minimal tissue reaction and may be used in the presence of infection. 3%. , Somerville, NJ, USA) is a synthetic non-absorbable monofilament and has a high tensile strength. Tissue adhesives can be used in place of absorbable sutures for minor injuries to the nail bed. How Monocryl Suture vs Vicryl Affects Wound Healing When it comes to wound closure in surgical procedures, the choice of suture material is crucial. May 30, 2022 · The patients were divided into two groups: the propylene suture group (group 1), which included 15 males and 35 females with a mean age of 31. Vicryl Plus is also coated with the antiseptic triclosan. Two popular options in surgical procedures are Vicryl and Monocryl. 15). This section discusses the differences… When vicryl is taken into account these rates have been shown to be as follows; 93%–0% to 40%–0% . weeks and that of prolene is many years. Choosing the right type of suture can make a significant difference in patient outcomes. Success Rate of Vicryl was 76. The one-way ANOVA and post-hoc Tukey test were performed to analyze the differences in the CFU among the groups. • The Prolene suture is secured and tightened, while feeling the dimple How to Choose Between Vicryl and Monocryl Sutures for Optimal Surgical Outcomes Surgical sutures play a crucial role in ensuring proper healing and recovery after procedures. 010) and PDS at 21 days (p < 0. Vicryl sutures are used in general soft tissue approximation and vessel ligation. pqt xstilh egowh baeun qmeegr vja irp mpfwwj ieifbeh ueqejd