Monocryl is an absorbable, single filament suture
with low tissue reactivity which dissolves slowly and loses strength.
Vicryl is an absorbable, braided suture with low tissue reactivity which
dissolves quickly but maintains strength.
In a study to be presented in the oral concurrent
session at the Society for Maternal-Fetal Medicine's
annual meeting, The Pregnancy Meeting, researchers with the Albert
Einstein College of Medicine/Montefiore Medical Center in Bronx, New
York, will present their findings in a study titled, 'Comparison of
subcuticular suture type in post-cesarean wound complications: a
randomized controlled trial'.
‘Monocryl suture had a significantly decreased rate of wound complications compared to the vicryl suture.’
The researchers tested two types
of sutures - poliglecaprone 25 (monocrylŽ suture) and polyglactin 910
Over the course of 14 months, 550 patients were randomized with 275
receiving monocryl suture and 275 receiving vicryl. Patients studied
were those undergoing non-emergency cesarean deliveries at 37 weeks
gestation or longer and there was no significant difference in
demographic information (age, body mass index, ethnicity, gestational
age, gravidity, parity) between the two study groups.
followed for complications until their six-week postpartum visit. The
primary outcome was wound complications within the first 30 days
following delivery. Complications included the incision reopening,
hematoma, swelling, fluid gathering around the incision and/or
Arin Buresch with Albert Einstein College of Medicine and the
presenter of the study at the SMFM annual meeting, said, "We found that
monocryl suture had a significantly decreased rate of wound
complications compared to the vicryl suture."
She went on to explain,
"The difference in wound complications may occur due to the braiding in
vicryl suture which conceivably allows bacterial growth in small nooks
and crevices. In the future, we hope our study will help guide the
decision-making on which suture type is used when closing the skin in