title: Knotting abilities of a new absorbable monofilament suture: poliglecaprone 25 (Monocryl).
abstract: OBJECTIVE
  To study the mechanical knotting abilities of the new synthetic absorbable monofilament suture poliglecaprone 25 (Monocryl) compared with other absorbable suture materials.
  
  
  METHODS
  Experimental laboratory study.
  
  
  METHODS
  Knotted loops (3/0 USP) of five synthetic absorbable sutures: Monocryl (poliglecaprone 25), PDS-2 (polydioxanone), Maxon (polyglyconate), Vicryl (polyglactin-910) and Dexon-Plus (polyglycolic acid). Three different knots were tested in a total of 150 experiments.
  
  
  METHODS
  Mean loop holding capacity (LHC) of 10 experiments, expressed in Newtons (N).
  
  
  RESULTS
  Monofilament Maxon tied significantly more secure knots than the other sutures. Sliding knots of Monocryl (poliglecaprone 25) were similar to, and three-throw square knots were less secure than those tied with monofilament PDS-2. Braided Dexon-Plus was superior to Monocryl for sliding knots but comparable for square knots. Braided Vicryl did not differ significantly from Monocryl.
  
  
  CONCLUSIONS
  The mechanical knot performance of Monocryl is identical to that of Vicryl, less than that of one other synthetic absorbable monofilament suture (Maxon) and comparable to or somewhat less than the other alternative (PDS-2). These findings, together with other characteristics such as degradation rate, should be used to define the application of Monocryl.
authors.affiliation: Department of Gynaecology, Leiden University Medical Center, The Netherlands.
authors.forename: J B
authors.initials: JB
authors.lastname: Trimbos
authors.forename: A
authors.initials: A
authors.lastname: Niggebrugge
authors.forename: R
authors.initials: R
authors.lastname: Trimbos
authors.forename: E J
authors.initials: EJ
authors.lastname: Van Rijssel
mesh_terms: D004146:Dioxanes; D005069:Evaluation Studies as Topic; D055585:Physical Phenomena; D010825:Physics; D016687:Polydioxanone; D011091:Polyesters; D011098:Polyglactin 910; D011100:Polyglycolic Acid; D011108:Polymers; D013537:Sutures
chemical_list: D004146:Dioxanes; D011091:Polyesters; D011108:Polymers; D011100:Polyglycolic Acid; D016687:Polydioxanone; D011098:Polyglactin 910; C095495:glycolide E-caprolactone copolymer; C046409:polyglyconate