What suture material is used for a open laparotomy cholecystectomy?
For an open laparotomy cholecystectomy, the most commonly used suture materials include:- Monofilament sutures such as nylon (polyamide), polypropylene, or polydioxanone (PDS). These are synthetic, non-absorbable sutures that provide excellent wound closure and minimal tissue reaction.
- Absorbable sutures such as polyglactin 910 (Vicryl), polydioxanone (PDS II), or chromic gut. These sutures are made of synthetic or natural materials and are gradually absorbed by the body over time, eliminating the need for suture removal.
- Combinations of non-absorbable and absorbable sutures. For example, the deep layers of the abdominal wall may be closed with a non-absorbable monofilament suture, while the skin is closed with an absorbable suture.
The choice of suture material depends on the surgeon's preference and the specific circumstances of the procedure.