Key Differences In Absorbable Vs Non Absorbable Sutures Every Veterinarian Should Know

Absorbable Vs Non Absorbable Sutures

Surgical wound closure is a critical aspect of veterinary medicine, and the selection of the appropriate suture material significantly influences healing outcomes, complication rates, and long-term tissue stability. Understanding the distinctions between absorbable vs non absorbable sutures is essential for veterinarians who manage diverse tissue types, from muscle and subcutaneous tissue to fascia, tendon, and even vascular prosthesis applications.

The choice of surgical suture materials determines the mechanical support offered during the healing phase and the degree of tissue reaction. This guide outlines key differences between absorbable and non-absorbable sutures, how each behaves in veterinary surgery, how tissue type influences selection, and which Strouden products match clinical needs effectively.

Understanding Surgical Suture Materials

Veterinary sutures are categorized based on their durability, origin, and filament structure. Regardless of the type selected, the objective remains consistent: achieve stable wound closure with minimal tissue trauma and predictable healing.

Sutures are typically classified by absorption behavior, natural or synthetic origin, filament structure such as monofilament or multifilament design, and suture size, which ranges from fine options for delicate tissues to larger sizes needed for high-tension areas. Veterinarians must consider these structural differences carefully when selecting sutures for specific anatomical regions to ensure optimal healing and long-term stability.

Veterinarians must consider these structural differences when selecting suture types for specific anatomical regions.

Absorbable Sutures: Characteristics and Behavior

Absorbable sutures are designed to degrade within the body over time. They maintain tensile strength long enough to support tissue during healing before undergoing hydrolysis or enzymatic breakdown.

How Absorbable Sutures Work

Absorbable sutures are ideal for tissues that regain strength quickly, such as muscle, subcutaneous tissue, internal organ surfaces, and locations where only temporary mechanical reinforcement is required. After placement, these sutures gradually lose tensile strength as they undergo controlled breakdown. During this process, the surrounding tissues progressively assume structural support as natural collagen formation and tissue remodeling occur, allowing the wound to heal without the long-term presence of foreign material.

Common Absorbable Sutures Used in Veterinary Medicine

1. ASSUFIL (PGA) – Synthetic Absorbable Multifilament

  1. The polyglactin-based braided structure offers reliable strength and flexibility suitable for a wide range of soft tissue veterinary procedures.
  2. This multifilament configuration provides excellent handling characteristics and stability, allowing surgeons to place secure knots with confidence during closure.
  3. Its predictable hydrolysis absorption profile ensures gradual loss of tensile strength while supporting tissue healing without early degradation.
  4. ASSUFIL is commonly used for soft tissue closure, ligature placement, and internal surgical repairs requiring dependable short to mid-term support.
  5. Its main advantages include smooth passage through tissue, strong knot security, and consistent performance across diverse veterinary surgical applications.

2. MONOFIL (PDO) – Synthetic Absorbable Monofilament

  1. Polydioxanone provides durable support for healing tissues, making it ideal for closures requiring long-term stability during extended recovery periods.
  2. This monofilament structure glides smoothly through tissue with reduced drag, minimizing irritation and supporting clean, controlled surgical placement.
  3. Its slow and uniform absorption ensures tensile strength is maintained long enough for fascia, tendon, and abdominal wall tissues to regain stability.
  4. MONOFIL is commonly used for abdominal wall repair, tendon support, fascia reinforcement, and other closures requiring prolonged mechanical strength.
  5. Key advantages include minimal tissue reaction and dependable strength retention, making it a preferred option for demanding surgical environments.

3. Chromic Catgut – Natural Absorbable Suture

  1. Chromic Catgut is derived from purified collagen treated with chromic salts, providing controlled absorption and improved handling characteristics.
  2. Its twisted natural filament structure offers flexibility and adaptability during soft tissue closure, accommodating curves and anatomical variations.
  3. Absorption occurs through enzymatic breakdown, which allows the suture to gradually lose strength as tissues heal and stabilize.
  4. This material is useful for subcutaneous closures and internal ligatures where temporary support is required without long-term foreign material retention.
  5. Chromic Catgut offers the advantages of a long clinical history, reliable performance, and smooth handling in diverse veterinary procedures.

These absorbable sutures provide the controlled degradation, tissue compatibility, and strength veterinarians require in internal wound repair.

You can also check out A Complete Guide to the Different Types of Veterinary Surgical Sutures.

When Absorbable Sutures Are Preferred

Absorbable sutures are preferred in tissues that heal rapidly or do not require prolonged mechanical support. They are particularly useful for abdominal wall and internal organ closures where the tissue regains strength quickly and long-term reinforcement is unnecessary. These sutures are also appropriate for subcutaneous layers, which benefit from temporary stability without the need for later removal. Ligature applications frequently rely on absorbable materials because they secure vessels effectively and naturally degrade once healing is established.

Pediatric veterinary patients often receive absorbable sutures due to rapid tissue turnover and the desire to avoid unnecessary follow-up procedures. Absorbable materials are also valuable in situations where suture removal is impractical or stressful for the patient, such as in anxious animals or wildlife cases. Their ability to break down naturally eliminates the need for postoperative retrieval, easing patient management and supporting a smoother recovery process.

Non-Absorbable Sutures: Characteristics and Behavior

Non-absorbable sutures maintain tensile strength indefinitely and remain in the tissue until manually removed or left permanently if appropriate.

How Non-Absorbable Sutures Work

Non-absorbable sutures are not affected by enzymatic or hydrolytic processes, allowing them to remain stable within tissue for long periods. This permanence makes them an essential choice for closures that require durable tensile strength, especially in tissues that experience significant mechanical stress during movement or healing. Their stability supports predictable outcomes in procedures where long-term reinforcement is necessary.

These sutures are commonly used for skin closures that must withstand tension, reinforcement of fascia, orthopedic surgeries, and areas of the body subject to high strain. They are also important in cardiac or vascular repairs involving a vascular prosthesis where persistent structural support is critical. Depending on the clinical need, they may be removed externally once healing progresses or intentionally left in place to provide ongoing mechanical stability.

Common Non-Absorbable Sutures Used in Veterinary Practice 

1. ASSUNYL – Nylon Monofilament

  1. Polyamide nylon provides a strong, stable material suited for external closures where long-term tensile support and predictable durability are required in veterinary procedures.
  2. Its monofilament design minimizes bacterial adherence and tissue drag, helping maintain cleaner wound edges throughout the healing process.
  3. Because it is non-absorbable, ASSUNYL remains intact until removed, offering consistent mechanical support for skin and surface-level wound repairs.
  4. Veterinarians commonly use this material for skin closures and external wound repairs that require reliable, stable edge approximation.
  5. Its advantages include low tissue reactivity and excellent tensile stability, making it a dependable choice for external surgical sites.

2. Non-Absorbable Cutting Sutures—External Use

  1. Nylon cutting sutures are engineered with sharp needles that penetrate skin efficiently, supporting accurate placement in high-tension external areas.
  2. These sutures are used primarily for surface wound closures requiring enhanced control and precise alignment under mechanical stress.
  3. Their design allows precise penetration with minimal drag, reducing trauma during entry and producing cleaner wound edges for healing.

Non-absorbable sutures remain the standard for external skin repair where visual monitoring and eventual removal are required.

Comparing Absorbable vs Non Absorbable Sutures

Understanding the distinctions between absorbable vs non absorbable sutures helps veterinarians select the correct tool for each tissue type and healing requirement.

1. Tensile Strength Requirements

Absorbable materials gradually weaken as healing progresses. They are ideal when tissue regains strength quickly.

Non-absorbable sutures retain tensile strength long term, providing stability for tension-bearing areas such as: Skin, fascia and orthopedic repairs

2. Tissue Compatibility and Reaction

Absorbable sutures may cause mild enzymatic or hydrolytic reactions but are generally well tolerated.

Non-absorbable sutures cause minimal irritation but can act as a foreign object if left in delicate tissues, increasing risk of granuloma formation.

3. Duration of Support

Absorbable sutures support healing tissues through the repair phase before losing strength.

Non-absorbable sutures support tissues indefinitely, making them crucial for skin wounds, joints, or prosthetic stabilization.

4. Surgical Workflow and Post-Operative Care

Absorbable sutures simplify follow-up because they do not require removal.

Non-absorbable sutures require monitoring and eventual removal, depending on the procedure.

Selecting Suture Size for Veterinary Procedures

Choosing the correct suture size is essential because it influences needle handling, knot security, and the degree of tissue trauma during closure. Smaller suture sizes are best suited for delicate tissues encountered in feline or avian procedures, while medium sizes are commonly used for routine skin and soft tissue repairs. Larger sutures are reserved for orthopedic closures or high-tension sites that require stronger mechanical support. 

Strouden sutures such as ASSUFIL, MONOFIL, Chromic Catgut, and ASSUNYL are available in a comprehensive range of appropriate suture sizes to match clinical needs.

Choosing the Right Suture for Each Tissue Type

  1. Muscle and Subcutaneous Tissue: Absorbable options like ASSUFIL are ideal for deep layers that heal quickly.
  2. Skin: Non-absorbable nylon such as ASSUNYL provides clean, stable closure.
  3. Fascia and Tendon: Slow-absorbable monofilament MONOFIL (PDO) maintains strength during extended healing.
  4. Internal Organs: Absorbable sutures minimize long-term foreign material retention.
  5. Prosthetic or Vascular Repairs: Non-absorbable options maintain permanent structural support.

Veterinarians must evaluate tissue tension, healing speed, infection risk, and surgical goals when choosing among absorbable vs non absorbable sutures.

Conclusion

For veterinarians, understanding the functional differences between absorbable vs non absorbable sutures is essential for achieving optimal healing, minimizing complications, and promoting long-term tissue stability. Absorbable sutures offer controlled degradation for internal wounds, while non-absorbable sutures provide lasting support for skin and high-tension areas.

At Strouden, we supply a reliable range of Assut Europe surgical sutures, including ASSUFIL (PGA), MONOFIL (PDO), Chromic Catgut, and ASSUNYL nylon sutures. These materials provide the tensile strength, precision, and biocompatibility needed across diverse veterinary procedures.

Partner with us and explore Strouden’s full suture collection today to ensure your surgical practice is equipped with dependable, clinically proven solutions for every wound closure requirement.

FAQs 

  1. What is the difference between absorbable and non-absorbable sutures?

Absorbable sutures degrade naturally through enzymatic or hydrolytic processes, providing temporary wound support. Non-absorbable sutures maintain tensile strength indefinitely and must be removed or left permanently. Each is chosen based on tissue healing speed and long-term support needs.

  1. Why use non-absorbable stitches?

Non-absorbable sutures provide lasting mechanical support for tissues under tension, such as skin and fascia. They are ideal for external closures requiring strength and stability during extended healing. Veterinarians remove them once wound consolidation is complete.

  1. How to tell the difference between dissolvable and non-dissolvable stitches?

Dissolvable stitches soften and disappear as the body absorbs them, while non-dissolvable sutures remain visible and intact until removed. Veterinary professionals can identify suture type by material characteristics, filament structure, and expected tissue reaction.

  1. What is the benefit of using absorbable sutures?

Absorbable sutures eliminate the need for removal, reducing patient stress and follow-up visits. They support internal healing effectively and degrade gradually, preventing long-term foreign material retention within tissues.

  1. How long do non-absorbable sutures stay in?

Non-absorbable sutures may remain indefinitely unless purposefully removed. For skin closures, removal typically occurs between 7 and 14 days depending on wound location, tension, and the veterinarian’s assessment of healing progression.

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