This analysis examines suture material characteristics, focusing on monofilament and multifilament types and their effects on knot strength and complications.
In veterinary surgery, there is currently a wide variety of suture materials that are extensively used, differing in composition, thread structure, fiber count, degradation time, and half-life. Each suture material has its own characteristics, advantages, and disadvantages. In abdominal surgery, monofilament suture materials such as polydioxanone, polyprolene, and others are widely used at present. The advantage of these threads is their almost complete lack of capillarity, which helps prevent potential postoperative complications such as bacterial infection of the suture area, leading to the development of peritonitis and/or sepsis. However, a disadvantage of using such suture materials is the reduced knot strength, which may lead to knot loosening. Nevertheless, there are proponents of the older school who prefer multifilament suture materials to monofilaments; for example, suture material based on polyhydroxyacetic acid. The advantages of this thread include its strength and reliable knot security, while the downsides are that it is not suitable for areas requiring prolonged tissue approximation due to the rapid resorption of the thread. This article provides a comparative characterization of various types of suture materials.
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Inapshba et al. (2025) studied this question.
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