Vicryl sutures are synthetic, absorbable stitches made from Polyglactin 910, commonly used for closing soft tissues in surgeries. They’re known for being strong, easy to handle, and gradually dissolve in the body over time so no need for removal. Vicryl suture uses are often in general surgery, eye procedures, and delicate microsurgeries, especially where precision matters. However, it’s not recommended for use in heart-related surgeries.
Polyglactin 910 (commonly known as Vicryl) is a synthetic absorbable suture made from a copolymer of 90% glycolide and 10% L-lactide. It’s usually available in a braided, coated form, which gives it excellent handling, flexibility, and knot security during suturing. Compared to earlier absorbable sutures, it holds its strength better about 75% at 2 weeks and 50% at 3 weeks before fully dissolving in the body within 56 to 70 days. It’s widely used in skin and soft tissue surgeries, offering reliable support while healing occurs.
There’s also a faster-dissolving, ideal for areas where sutures don’t need to stay long. It retains 50% strength for about 5 days and loses all tensile strength by 10–14 days, mimicking natural gut sutures but with more consistency. Both versions are sterilized and designed to be safe, absorbable, and efficient making them a trusted choice for everything from minor skin procedures to delicate facial reconstructions.
Vicryl sutures absorption time by the body through a process called hydrolysis, where water in the tissue gradually breaks down the suture material. Standard Vicryl typically retains about 75% of its tensile strength at 2 weeks and 50% at 3 weeks, offering reliable support during the initial healing phase. Complete absorption usually occurs within 56 to 70 days.
The faster dissolving variant, designed for faster healing areas, breaks down much quicker losing strength within 10 to 14 days and fully absorbing in about 42 days. This makes it ideal for superficial wounds or where suture removal isn’t needed.
Vicryl sutures and sizes are varied and come in a range of sizes from USP 1 (thickest) to 7-0 (finest) each suited to specific surgical needs.
USP 1, 0: Stronger sutures used for fascia closure, abdominal wall, or orthopedic surgeries where high tension support is needed.
USP 2-0, 3-0: Commonly used for muscle layers, subcutaneous closure, and general soft tissue approximation.
USP 4-0, 5-0: Ideal for subcuticular suturing, skin closure, and delicate procedures in general and plastic surgery.
USP 6-0, 7-0: Extremely fine, typically used in ophthalmic surgery, pediatric cases, or microsurgery like small vessel or nerve repair.
Vicryl sutures are commonly chosen for closing soft tissues in many types of surgery whether it’s general procedures, gynecology, orthopedics, plastic, dental, or even eye surgeries. They’re especially useful when the stitches don’t need to be removed later, as they naturally dissolve in the body over time. This makes them ideal for internal tissues or areas where removing sutures could be difficult or cause discomfort. Their gentle handling, reliable strength, and absorbable nature make them a go-to choice for surgeons aiming for smooth healing with less follow-up.
1. Do Vicryl sutures need to be removed?
No. Vicryl sutures are absorbable and naturally dissolve in the body, eliminating the need for removal.
3. Where are Vicryl sutures most commonly used?
They are widely used in general surgery, gynecology, orthopedics, dental, ophthalmic, and plastic surgeries mainly for soft tissue approximation.
4. Are Vicryl sutures safe for sensitive tissues?
Yes. Made from synthetic polyglactin 910, Vicryl is designed to cause minimal tissue reaction and is considered safe for delicate applications.
5. What sizes are available, and how do I choose?
Vicryl sutures range from USP 1-0 (for fascia and deep closures) to 7-0 (used in microsurgery or ophthalmic procedures). Choose based on tissue type and surgical need.
6. Can Vicryl sutures hold a secure knot?
Absolutely. They offer excellent knot security and are easy to handle, even in difficult or deep surgical areas.
8. Is Vicryl suitable for cardiovascular use?
No. Vicryl is not recommended for cardiovascular procedures, as its safety and effectiveness in heart tissue have not been established.
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