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'.
The researchers tested two types of sutures - poliglecaprone 25 (monocryl® suture) and polyglactin 910 (vicryl® suture).
Patients were 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 infection.
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 cesarean births."