MONOCRYL

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Ethicon, Inc., is a subsidiary of Johnson & Johnson. The company is part of the Johnson & Johnson MedTech business segment. It was incorporated as a separate company under the Johnson & Johnson umbrella in 1949 to expand and diversify the Johnson & Johnson product line. Ethicon has manufactured surgical sutures and wound closure devices since 1887. After World War II, Ethicon's market share in surgical sutures rose from 15% to 70% worldwide. In the United States, the market share is approximately 80%. Ethicon conducts business in 52 countries.

In connection with: Ethicon

Ethicon

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Robert Wood Johnson I

Robert Wood Johnson I (February 20, 1845 – February 7, 1910) was an American industrialist. He was one of the three brothers who founded Johnson & Johnson.

In connection with: Robert Wood Johnson I

Robert

Wood

Johnson

Title combos: Robert Johnson Wood Robert Johnson

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Prolene

Prolene is a brand of synthetic polypropylene used in monofilament nonabsorbable sutures and meshes. The suture is indicated for skin closure and general soft tissue approximation and ligation. Its advantages include minimal tissue reactivity and durability. Disadvantages include fragility, high plasticity, high expense, and difficulty of use compared to standard nylon sutures. Composed of an isotactic crystalline stereoisomer of polypropylene, Prolene sutures are intended to be durable and long lasting. They are dyed blue, allowing for easy visibility against skin and when operating. It is composed of a single filament. A polypropylene mesh Prolene product is used for repairing hernias and other injuries to the fascia. Prolene commonly is used in both human and veterinary medicine for skin closure. In human medicine it is used in cardiovascular, ophthalmic and neurological procedures. It is often used in conjunction with the absorbable suture Monocryl. Prolene is manufactured by Ethicon Inc., a subsidiary of Johnson & Johnson. It is produced in Cornelia, Georgia, USA. Prolene has become the mainstay of vascular anastomoses and facilitated significant advances in cardiac and vascular surgery . It is used on both small vessels such as coronary artery bypasses and large vessels including the aorta. It is used in obstetrical practice, during cesarean sections to suture the rectus sheath of the abdominal wall because it is non-absorbable in nature and provides the sheath the due strength it deserves (rectus sheath is composed of various tendon extensions and muscle fibres and maintains the strength of the abdominal wall; if it becomes weak the abdominal contents start herniating out) it stays there forever and is also often seen during repeat cesarean section as that of the previous section.

In connection with: Prolene

Prolene

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Surgical suture

A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread. There are numerous types of suture which differ by needle shape and size as well as thread material and characteristics. Selection of surgical suture should be determined by the characteristics and location of the wound or the specific body tissues being approximated. In selecting the needle, thread, and suturing technique to use for a specific patient, a medical care provider must consider the tensile strength of the specific suture thread needed to efficiently hold the tissues together depending on the mechanical and shear forces acting on the wound as well as the thickness of the tissue being approximated. One must also consider the elasticity of the thread and ability to adapt to different tissues, as well as the memory of the thread material which lends to ease of use for the operator. Different suture characteristics lend way to differing degrees of tissue reaction and the operator must select a suture that minimizes the tissue reaction while still keeping with appropriate tensile strength.

In connection with: Surgical suture

Surgical

suture

Title combos: Surgical suture

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Monocryl

Monocryl is a synthetic, absorbable suture manufactured in Cornelia, Georgia, USA, and trademarked by Ethicon. It is composed of poliglecaprone 25, which is a copolymer of glycolide and ε-caprolactone. It comes both dyed (violet) and undyed (clear) and is an absorbable monofilament suture. It is generally used for soft-tissue approximation and ligation. It is used frequently for subcuticular dermis closures of the face. It has less of a tendency to exit through the skin after it breaks down, such as Vicryl. It is contraindicated for use in cardiovascular and neurologic tissues and for usage in ophthalmic and microsurgery. The use of poliglecaprone suture may be inappropriate in patients who are older, malnourished, or debilitated, as well as in patients with conditions that may delay wound healing. Monocryl has a low tissue reactivity, maintains high tensile strength, and has a half-life of 7 to 14 days. At 1 week, its in vivo tensile strength is at 50–60% undyed (60–70% dyed), 20–30% undyed (30–40% dyed) at two weeks, and essentially completely hydrolyzed by 91–119 days. When removed from the package, it has a high degree of "memory", or coil. It is slippery, making it easier to pass than a braided suture. It has a consistency close to nylon suture material. It is rarely used for percutaneous skin closure and is not used in areas of high tension (e.g., fascia).

In connection with: Monocryl

Monocryl

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