Vicryl

Aka: Vicryl, Polyglactic Acid Suture

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II. Indications

  1. Subcutaneous and intraoral closure

III. Category

  1. Second synthetic Absorbable Suture (1974)
  2. Polymer
    1. Lactide
    2. Glycolide
  3. Coating (assists with handling and tying)
    1. Polyglactin 370
    2. Calcium stearate

IV. Background: Absorption (Hydrolysis)

  1. Tensile and knot strength roughly equivalent to Dexon
  2. Day 28: 8% of tensile strength
  3. Day 60 to 90: Suture completely absorbed
    1. Much more rapid than Dexon

V. Preparations

  1. Undyed braided Suture
  2. Violet-dyed braided Suture
    1. May be seen under skin in some cases

VI. References

  1. Epperson in Pfenninger and Fowler (1994) Procedures for Primary Care Physicians, Mosby, Chicago, p. 3-11
  2. Townsend (2001) Sabiston Textbook Surgery, p. 1552-3
  3. Howell (1997) Emerg Med Clin North Am 15(2):417-25 [PubMed]
  4. Moy (1991) Am Fam Physician 44(6):2123-8 [PubMed]

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