Provider Prepared's Weekly Pearl of Wound Wisdom #3 - Which suture should I use?
With a wound that is prepared for suturing, what suture should I use? Typically nonabsorbable suture is your first choice for sutures that will be on the outside of the skin. Nylon is the suture material of preference. It has a strength and workability that allows its use for any wound. For more complex wounds requiring sutures under the skin, a good absorbable suture material, such as polyglactin, is recommended.
Lin, BR et all. EMRAP April 2017:17:4(2).
Remember when choosing suture size, the larger the number, the smaller the suture thread. Any Facial lacerations should be closed with a small suture size, such as 6-0. Lacerations on hands and arms are usually managed well with 5-0; gaping wounds may need 4-0. Wounds on the lower extremities generally need larger 4-0 sized suture. Provider Prepared Laceration kits give you autonomy of suture choice, with Ethilon (nylon) 4-0, 5-0 and 6-0 sizes. You also have the option for Vicryl (polyglactin) 4-0 or 5-0 sizes. Get your SUTURES HERE TODAY, so you are ready for your next home laceration repair.
Provider PreparedNathan Whittaker, MD
- Dr. Nate Whittaker, MD Emergency Medicine Specialist