An ideal suture material is flexible, strong, easily tied and securely knotted.it stimulates
- Less tissue reaction
- Reduces the risk of infection.
Mainly for skin closure, the cosmetic property is preferable to the surgeons for the better wound healing and less scar formation.
Sterile adhesive tape Steristrip placed across the incision will also prevent surface marks. Its used either primarily or after surface suture have been removed partially. Taping will not correct errors in suturing that have resulted in uneven edges or tension across the incision. Tape burns may occur if there any excessive tension or swelling around the incision.
The use of monofilament nylon or polypropylene suture material, because these types of sutures cause fewest reactions. Currently, subcuticular, pullout type monofilament sutures left in for up to 3 weeks without causing any reaction.
Even buried nylon sutures might well tolerate and generally cause fewer problems than braided or absorbable sutures.
An alternative to sutures advances to skin adhesives such as 2-octylcyanoacrylate (dermabond). It works well in small areas without much tension or shearing. Its advisable in children and patient with cosmetic concern.
Silk is an animal protein and relatively inert in human tissue. Commonly used because of its track record and favorable handling characteristics.
It loses strength over long periods and is unsuitable for suturing arteries to plastic grafts or for insertion of prosthetic cardiac valves.
silk suture a multifilament, providing the mechanical immune barrier for bacteria. occasionally silk suture forms a focus for small abscesses that migrate and spit in the skin. Small sinuses that will not heal until the suture removed.