Types of sutures for skin and mucous membrane laceration repair

Suture (brand names)	Site	Type	Tensile strength	Comments
Superficial skin closure
Nylon (Ethilon, Unilon, Riverlon)	Any	Nonabsorbable	Good	Good handling; requires at least 3 to 4 throws to make a secure knot Stretches to handle wound swelling Green color available for suturing in scalp or eyebrows
Polybutester (Novalfil)	Any	Nonabsorbable	Good	Similar to nylon
Polypropylene (Prolene, Synthalin, Unilene)	Any	Nonabsorbable	Best	Slippery; requires at least 4 to 5 throws to make a secure knot Stretches to handle wound swelling Blue color available for suturing in the scalp or eyebrows
Fast-absorbing gut	Face	Absorbable	Low	Typically holds for 4 to 6 days Breaks easily during tying (especially small-diameter [eg, 6-0 or higher] suture) Tan color can be difficult to see Often used in young children Also used for nailbed laceration repair
Polyglactin (Vicryl Rapide)	Scalp Skin laceration under cast or splint	Absorbable	Fair	Typically holds for 7 to 10 days Alternative to nonabsorbable suture when removal may be difficult or patient follow-up is not assured
Chromic gut	Scalp Fingertip and nailbed Laceration under cast or splint	Absorbable	Fair	Typically holds for 10 to 14 days Alternative to nonabsorbable suture or staples when removal may be difficult or patient follow-up is not assured
Deep (subcutaneous) closure
Polyglactin (Vicryl)	Any	Absorbable	Good	Holds for 30 days Braided synthetic; good handling
Poliglecaprone 25 (Monocryl)	Any	Absorbable	Fair	Holds for 7 to 10 days Monofilament suture; easy to handle and tie Also used for subcutaneous closure of facial lacerations
Mucous membrane closure
Chromic gut	Oral mucosa or tongue	Absorbable	Fair	Typically holds for 10 to 14 days More rapidly absorbed in the oral cavity
Polyglactin (Vicryl)	Oral mucosa or tongue	Absorbable	Good	Typically holds for 30 days

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Types of sutures for skin and mucous membrane laceration repair