A Comparison of Monosyn and Monocryl Sutures in Surgical Wounds

13:34 EDT 7th July 2015 | BioPortfolio

Summary

To better understand surgeon preference when using synthetic, absorbable, monofilament suture by comparing two similar appearing FDA-approved sutures, Monosyn (Aesculap) and Monocryl (Ethicon).

Description

Physicians have used suture to close wounds for at least 4,000 years. Archaeological records from ancient Egypt show that Egyptians used linen and animal sinew to close wounds. In ancient India, physicians used the pincers of beetles or ants to staple wounds shut. They then cut the insects' bodies off, leaving their jaws (staples) in place. Other natural materials used to close wounds include flax, hair, grass, cotton, silk, pig bristles, and animal gut.

The fundamental principles of wound closure have changed little over 4,000 years. Successful closure of wound involves surgical techniques coupled with knowledge of the physical characteristics and handling of the suture and needle. The selection of proper suture material in closing any surgical defect is important in wound healing, minimizing infection, and achieving optimal cosmetic and functional results.

A great deal of progress has been made since Egyptian times with regard to suture materials and manufacturing processes. Today, sutures are available with a wide variety of characteristics, configuration, manipulability, coefficient of friction, solubility, strength, and immunogenic properties. Yet, sutures are currently rather crudely classified based on a numeric scale according to diameter and tensile strength; descending from 10 to 1, and then descending again from 1-0 to 12-0. This study aims to explore the factors that are important to a surgeon when choosing sutures via evaluating surgeon preference for two types of synthetic, absorbable, monofilament sutures: Monosyn and Monocryl. We hope to initiate a more nuanced exploration of how suture characteristics influence surgeon preference, beyond filament type and size, and how makers of suture may better report and represent these factors.

Study Design

Observational Model: Case Control, Time Perspective: Prospective

Conditions

Wounds

Intervention

Absorable, monofilament sutures: Monosyn and Monocryl

Location

Tufts Medical Center
Boston
Massachusetts
United States
02111

Status

Completed

Source

Tufts Medical Center

Results (where available)

View Results

Links

Clinical Trials [133 Associated Clinical Trials listed on BioPortfolio]

An International, Multicentric, Prospective, Observational Study to Evaluate Monosyn® Suture Material for Anastomoses in the Gastrointestinal Tract

The aim of this non-interventional study is to evaluate the efficacy of a monofilament, mid-term absorbable suture material (Monosyn®) for anastomosis performed in the gastrointestinal tr...

Antimicrobial Coated Sutures in Paediatric Surgery

The purpose of this study is to determine if suture material coated by antimicrobial agent triclosan would decrease the incidence of surgical site infections (SSIs) in paediatric surgery c...

Skin Incision Study - Closure of Skin Incisions in Gynecological Cancer Surgery

The Skin Incision Study evaluates the efficacy of skin closure methods: skin staples and subcuticular sutures at 6 weeks and at 3 months following the operation by measuring cosmesis and p...

Sutures Versus Staples for Wound Closure in Orthopaedic Surgery

The trial is a randomized, controlled trial. Adult patients undergoing orthopaedic surgical procedures would be randomized to one of two groups for surgical wound closure, skin sutures or...

Study of Sutures Versus Staples for Skin Closure After Surgical Procedures of Hip

Skin closure either by sutures or staples is required after any surgical procedure of the hip. The purpose of this study is to compare the amount of drainage between patients who have had...

PubMed Articles [512 Associated PubMed Articles listed on BioPortfolio]

The effect of suture characteristics on short-term morbidity after vaginal prolapse surgery.

Previous studies suggest that larger sutures increase the risk of complications after prolapse surgery. This study aimed to assess whether multifilament sutures increased complications compared with m...

Foot Sensation Testing in the Patient With Diabetes: Introduction of the Quick & Easy Assessment Tool.

Sensory testing of patients with diabetes is an integral part of preventing new and recurrent wounds. The Semmes- Weinstein monofilament (SWM) test is considered the gold standard to screen for loss o...

Negative pressure wound therapy for treating surgical wounds healing by secondary intention.

Following surgery, incisions are usually closed by fixing the edges together with sutures (stitches), staples, adhesive glue or clips. This process helps the cut edges heal together and is called 'hea...

Use of Barbed Suture in Robot-Assisted Mitral Valvuloplasty.

Robot-assisted annuloplasty using a mitral band has a major issue: suturing is time consuming because knot tying is performed mechanically under endoscopic view. We suture the mitral band to the nativ...

A randomized 'N-of-1' single blinded clinical trial of barbed dermal sutures vs. smooth sutures in elective plastic surgery shows differences in scar appearance two-years post-operatively.

Barbed sutures have unidirectional circumferential shallow barbs, which distribute tension throughout the wound and close wound securely without the need to tie knots.

Medical and Biotech [MESH] Definitions

A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.

Head injuries which feature compromise of the skull and dura mater. These may result from gunshot wounds (WOUNDS, GUNSHOT), stab wounds (WOUNDS, STAB), and other forms of trauma.

Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.

Penetrating wounds caused by a pointed object.

Wounds caused by objects penetrating the skin.

More From BioPortfolio on "A Comparison of Monosyn and Monocryl Sutures in Surgical Wounds"


Advertisement
 

Relevant Topic

Wound management
Latest News Clinical Trials Research Drugs Reports Corporate
Anything that breaks the skin is a wound because when the skin is broken, there's a risk of germs getting into the body and causing an infection. Follow and track Wound Care News on BioPortfolio: Wound Car...

Advertisement