Sutures, generally called stitches, are sterilized, surgical threads that are used for wound closure. They are primarily used to close incisions resulting due to a surgery. They are used by doctors and surgeons to hold skin, blood vessels, internal organs, and various other tissues of the body together after they have been detached by incision, injury, or surgery. Surgical suture closure creates an environment for faster healing of the wound. Tissues are fastened with sutures until ample healing occurs to enable patients to endure stress without any mechanical support.
A variety of sutures, with varied properties are available according to the usage. Sutures can be widely categorized into two types: non-absorbable sutures and absorbable sutures. An absorbable suture dissolves in tissue after a certain time period. It degenerates as the wound or incision cures. A non-absorbable suture does not dissolve in the body and has to be removed by a surgeon after a surface incision has healed. An ideal suture should be strong, non-toxic, hypoallergenic, and flexible. In addition, sutures should not absorb fluid to avoid unwanted infection.
The category of suture used depends on the type of surgery, nature of the location, and the preference and professional understanding of the surgeon.
Development of advanced wound care dressings and availability of alternatives such as surgical staplers and complications such as hemorrhage, leakage especially in esophageal and colonic anastomosis and diverticular formation are a few factors restraining the expansion of the absorbable sutures market.
Sutures placed internally require to be removed, and those present on the outside can be removed easily without any re-opening of the wound. Absorbable sutures are thus often preferred for internal wound stitches, and non-absorbable sutures are mostly used for external wounds. Absorbable sutures include polyglactin 910, polyglycolic acid sutures, polydioxanone sutures, and catgut, poliglecaprone 25.
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Based on type, the global absorbable sutures market can be segmented into monofilament sutures and multifilament or braided sutures. Monofilament sutures have easy passage through the tissues, whereas multifilament sutures have stable knotting feature. In general, monofilament sutures produce less tissue reaction compared to multifilament sutures. Multifilament sutures are mostly braided and layered with various materials such as silicon, polycaprolactone, wax, calcium stearate, PTFE, etc.
In terms of raw material, the global absorbable sutures market can be categorized into natural and synthetic. Natural sutures include catgut and silk sutures. All other sutures falls under the synthetic type. Based on coating, the global absorbable sutures market can be divided into uncoated and coated sutures. Typically, braided sutures are coated and monofilament sutures are uncoated as braided sutures are easy to coat compared to monofilaments sutures. Coating materials include silicon, wax, gelatin, chromium salt, polycaprolactone, PTFE, and calcium stearate. Polymeric coating materials are more bio-compatible than conventional coating materials such as beeswax, gelatin, pafaffin, etc. New functional coatings such as antimicrobial or antibacterial coatings are now available and are used on both multifilament and monofilament sutures. Stem cell coating is also available, which improves healing properties. Coated sutures include catgut chromic, silk, PGA sutures, polyglactin 910 and polyester sutures, twisted nylon, polydioxanone, and poliglecaprone sutures. Uncoated sutures include monofilament nylon, monofilament polypropylene sutures, and PVDF. Based on application, the absorbable sutures market can be segmented into valve sutures, cardiovascular sutures, gynecology sutures, orthopedic sutures, dental sutures, sutures for cosmetic surgery, ophthalmic sutures, general sutures, etc. In terms of end-user, the absorbable sutures market can be classified into hospitals, ambulatory surgical centers, specialty clinics, dental clinics, and others.
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Based on region, the absorbable sutures market can be segmented into North America, Europe, Asia Pacific, Latin America, and Middle East & Africa. North America is anticipated to be a dominant region of the absorbable sutures market due to the rising number of surgeries, increasing incidence of cardiovascular diseases, and fast adoption of advanced technologies. Asia Pacific is anticipated to be a rapidly expanding region of the absorbable sutures market.
Key players operating in the global absorbable sutures market include B. Braun Melsungen AG, Ethicon, Inc., Medtronic Plc., DemeTech Corporation, Smith & Nephew Plc. Zimmer Biomet Holdings, Inc., Boston Scientific Corporation, LifeSciences Corporation, Teleflex Incorporated, Acelity L.P. Inc., and ConMed Corporation.
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