Chapter 4: Table of Contents
- 4.8 Cruciate Pattern
- 4.9 Cushing Pattern
- 4.10 Ford Interlocking Pattern
- 4.11 Intradermal Pattern
- 4.12 Lembert Pattern
- 4.13 Mattress Suture Patterns
- 4.14 Modified Transfixing Ligature
- 4.15 Purse-String and finger trap
- 4.16 Simple Continuous Pattern
- 4.17 Simple Interrupted Pattern
- 4.18 Skin Staples
- 4.19 Subcutaneous closure & How to bury a knot
- 4.20 Suture Material and Patterns Quiz
Multifilament vs. Monofilament Suture Materials
Monofilament suture materials such as glycomer-631, polydioxanone, and polypropylene, are often selected since they cause less tissue drag and are less likely to track and harbour bacteria at the surgical sites. Monofilament suture materials are generally harder to handle than multifilament suture because of their memory.
Multifilament suture materials can be braided (e.g. polyglactin-910), or twisted (e.g. polymerized caprolactam). Multifilament suture materials are easier to handle when tying knots and are more flexible but they also have increased tissue drag and may harbour bacteria in the pores created by braiding or twisting leading to infection.