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• Chromic Gut
Plain gut tanned with
chromium salts
Improved strength and
duration
Duration is 14-21 days
Knot security greater than
plain gut
Absorption by proteolytic
enzymes
ABSORBABLE SUTURES
Silk
70% natural silk, silk worm
larvae
Main advantage is favorable
handling
Knot security is good
Tissue response to silk is
severe
Braided material, highest
potential for infection
NON-ABSORBABLE SUTURES
Nylon
Synthetic polyamide polymer
Available in monofilament or
multifilament
Poor knot security
Among the best for minimizing
infection
Mucosa/Lip: 5-0 or 6-0 Nylon
Basic Extraction: 3-0 Nylon
NON-ABSORBABLE SUTURES
Polypropylene (Prolene)
Similar to Nylon, synthetic
monofilament polymers
Breaking strength less than Nylon
Knot security and ease of tying
greater than Nylon
Absorption is non-existent, good
for contaminated wounds
NON-ABSORBABLE SUTURES
• Dacron (Mersilene)
Polyester braided suture
May be coated with Teflon to
improve handling
Strongest non-metallic suture
High coefficient of friction
No absorption occurs
NEEDLES
2. Cutting
Cutting & reverse cutting needles
Pointed with triangular cross-
section Reversed Cutting
outline on package
Described on package (cutting) along
with manufacturer’s code
Curve-ended
straight Straight