From the Guidelines
Vicryl sutures are indeed dissolvable, as they are made from polyglactin 910, a synthetic material that breaks down in the body through hydrolysis. According to a recent study published in the American Journal of Obstetrics and Gynecology in 2024 1, Vicryl sutures are classified as standard synthetic multifilament sutures that can be used for repair of episiotomy and obstetrical perineal lacerations. The study notes that Vicryl sutures, along with other synthetic sutures, have advantages over catgut sutures, including less pain and a lower risk of requiring resuturing. Some key points to consider when using Vicryl sutures include:
- They are absorbed by the body over time, eliminating the need for removal
- The absorption rate can vary depending on the specific type of Vicryl used and the location in the body
- Vicryl sutures may be preferred over other types of sutures due to their low risk of infection and bacterial seeding, as noted in the study by Kettle et al, which was cited in the 2024 American Journal of Obstetrics and Gynecology study 1. It's worth noting that while Vicryl sutures are generally considered safe and effective, the choice of suture material ultimately depends on the specific needs of the patient and the procedure being performed. However, based on the available evidence, Vicryl sutures are a good option for many surgical procedures due to their dissolvable nature and low risk of complications.
From the Research
Vicryl Sutures
- Vicryl sutures are a type of synthetic absorbable suture, which means they are designed to be broken down and absorbed by the body over time 2.
- The absorption time of Vicryl sutures can vary depending on several factors, including the size of the suture, the type of tissue it is used in, and the presence of certain chemicals or medications 3, 4.
- Studies have shown that Vicryl sutures have a mean longevity of around 22-24 days, although this can range from 14-47 days 3.
- Vicryl sutures are made of a copolymer of lactide and glycolide, which are broken down by hydrolysis in the body 2, 5.
- The use of Vicryl sutures has been found to be safe and effective in a variety of surgical procedures, including oral surgery and general surgery 3, 6, 5.
Comparison to Other Sutures
- Vicryl sutures have been compared to other types of absorbable sutures, including chromic catgut, Dexon, Maxon, and PDS 3, 4, 5.
- Studies have shown that Vicryl sutures have a similar or slightly shorter absorption time compared to some of these other sutures 3, 5.
- The tensile strength of Vicryl sutures has been found to be similar to or slightly higher than that of some other absorbable sutures 4, 5.