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The Daily Insight

What is PDS suture

Author

Andrew Walker

Updated on April 18, 2026

Polydioxanone (PDS II) is a synthetic, absorbable, monofilament suture made from a polymer of paradioxanone (Figure 2). It has greater initial tensile strength than polyglycolic acid and polyglactin 910 but has the poorest knot security of all the synthetic absorbable sutures.

What does PDS suture mean?

PDS (polydioxanone suture), a new synthetic absorbable suture, was used in 21 patients undergoing cataract surgery. It still retains 25% of its tensile strength at 42 days but absorption takes 130-180 days.

Is PDS a monofilament?

Polydioxanone (PDS), a novel monofilament synthetic absorbable suture.

When do you use PDS suture?

PDS sutures are ideal for use in general orthopaedic surgery, sub cuticular, gastro intestinal tract, paediatric cardiovascular surgery, sheath closure and general surgery. PDS sutures also cause minimal tissue reaction. Polydioxanone suture is available in violet colour.

Is PDS suture natural or synthetic?

3.1. 5 Polydioxanone (PDS II, PDS Plus Antibacterial) Polydioxanone is a synthetic, absorbable, monofilament suture made from polymer of paradioxanone (Fig. 2).

Is 2 0 PDS suture absorbable?

PDS II Suture represents a significant advance in suturing. It combines the features of soft, pliable, monofilament construction with absorbability and extended wound support for up to 6 weeks.

What are the 3 types of sutures?

  • Continuous sutures. This technique involves a series of stitches that use a single strand of suture material. …
  • Interrupted sutures. This suture technique uses several strands of suture material to close the wound. …
  • Deep sutures. …
  • Buried sutures. …
  • Purse-string sutures. …
  • Subcutaneous sutures.

What suture is used to close the fascia?

Nonabsorbable sutures are used in fascial closure. The surgeon pulls apart the fascial layer with two clamps. A looped synthetic material known as polydioxanone (PDS) is used for suturing.

What is the difference between Monocryl and Vicryl?

Monocryl has identical knot performance compared with Vicryl, similar performance to PDS, and lesser performance compared with Maxon. Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS. Monocryl loses 70% to 80% of its tensile strength at 1 and 2 weeks.

What is Ethilon suture used for?

ETHILON Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.

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What is PDS material?

Polydioxanone (PDS) or poly-p-dioxanone is a slowly absorbable monofilament suture composed of the polyester, poly (p-dioxanone). This is a monofilament with greater strength than monofilament nylon and polypropylene, and with less tissue drag than the multifilament materials.

Is Monocryl suture absorbable?

Monocryl suture, a new ultra-pliable absorbable monofilament suture.

How long do PDS sutures take to dissolve?

In vivo experiments on rats showed a slight tissue reaction and a dissolution time of 120-180 days for Maxon and 180-240 days for PDS. With Maxon, tensile strength was measurable for 42-49 days, while the period for PDS amounted to 65-80 days.

Do gut sutures dissolve?

Chromic gut sutures (gut treated with chromium to decrease tissue reactivity and slow absorption) will provide effective wound support for 10-21 days, but don’t truly dissolve for 90 days, so probably not the suture of choice in this situation.

What color is PDS suture?

Monofilament polydioxanone Suture is synthetic absorbable sterile surgical suture composed of the polyester, poly (p-dioxanone). Unisynth PDS is made from polymerizing para dioxanone monomer. It is available in Violet colour.

What are the 2 types of sutures?

Absorbable vs non-absorbable sutures There are two varieties of sutures: absorbable and non-absorbable. Absorbable sutures do not require your doctor to remove them. The enzymes found in the tissues of your body will naturally digest them.

What are blue sutures?

Polypropylene sutures are blue colored for easy identification during surgery. Polypropylene sutures have excellent tensile strength and are used for orthopaedic, plastic and micro surgeries, general closure and cardiovascular surgeries. Polypropylene sutures are popularly known as Prolene sutures.

Which type of suture is absorbable?

Types of Absorbable sutures include : Polyglycolic Acid sutures, Polyglactin 910 , Catgut, Poliglecaprone 25 and Polydioxanone sutures.

What is a #1 PDS suture?

1. PDS II sutures are intended for use in general soft tissue approximation, including use in paediatric cardiovascular tissue, in microsurgery and in ophthalmic surgery. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable. 1.

What is chromic gut suture made of?

Plain, Mild, and Chromic Gut sutures are absorbable sterile surgical sutures composed of purified connective tissue (mostly collagen) derived from the serosal layer of beef (bovine) intestines.

What is Vicryl suture used for?

Vicryl sutures were used to suture small and large intestine, peritoneum, fascia, muscle, subcutaneous tissue, and skin and were used in thoracotomy closure.

What is the strongest suture material?

Surgilon provides the most stable strength for general suture techniques. FiberWire is the strongest suture material for a site where a large number of throws is clinically possible. PDS II provides a strong suture when combined with cyanoacrylate reinforcement.

What is fascia in your back?

What is fascia? Fascia is a thin casing of connective tissue that surrounds and holds every organ, blood vessel, bone, nerve fiber and muscle in place. The tissue does more than provide internal structure; fascia has nerves that make it almost as sensitive as skin. When stressed, it tightens up.

What happens if you don't close fascia?

Without the ability of your tissue to slide freely, your fascia will adhere and begin to build up more and more layers in the same area which, if left unchecked, can lead to imbalances in your posture and pain and discomfort in other areas of your body.

Does fascia grow back?

Fascia doesn’t typically heal in its original configuration. Instead of restoring to its previous flat and smooth texture, fascia may heal into a jumbled clump. Called fascial adhesion, fascia can literally stick to existing muscle or developing scar tissue.

Do Ethilon sutures need to be removed?

Nonabsorbable monofilament (Ethilon/nylon and Prolene) sutures incite minimal inflammatory reaction, slide well, and can be easily removed, thus providing ideal running intradermal stitches. Prolene appears to maintain its tensile strength longer than nylon, which loses approximately 15% to 20% per year.

What is the best suture for skin suturing?

It is generally accepted that if one uses sutures to repair an uncomplicated laceration, the best choice is a monofilament non-absorbable suture. Monofilament synthetic sutures have the lowest rate of infection [2]. Size 6-0 is appropriate for the face.

Is Ethilon suture dissolvable?

Nylon (Ethilon) and Prolene are both non-absorbable monofilament suture materials which provide good tensile strength with low tissue reactivity and are therefore widely used.

What is PDS polymer?

Polydioxanone (PDO, PDS) or poly-p-dioxanone is a colorless, crystalline, biodegradable synthetic polymer.

Is nylon suture absorbable?

Polyamide or nylon is the most commonly used non-absorbable suture. It is most often used as a percutaneous suture because of its low tissue reactivity. It is excellent for general soft tissue approximation or ligation, including use in cardiovascular, ophthalmic and neurological procedures.

Is Dacron absorbable?

Synthetic Non-absorbable Suture Material: Braided Polysters (Ethibond, Ethiflex, Mersiline, Dacron)