Absorbable monofilament suture for Abdominal Wall Closure

Monomax® is the unique suture in the market made of poly-4-hydroxibutyrate.

  • Extra-long term absorption, Monomax loses its relative tensile strength slower than polydioxanone sutures (slower tensile strength degradation profile compared to polydioxanone sutures). [1,2,3]
  • Elasticity and elongation: Monomax® elongates twice as much as polydioxanone sutures. [4]
  • Sizes available USP 2/0 (metric 3) up to USP 1 (metric 4).
  • It degrades by hydrolysis and enzymatic reaction.


Maximum Elongation

Monomax® elongates twice as much as polydioxanone sutures. [4]

Monomax® has peak values of elongation more than double the elongation values of PDS® II. According to the basic assumption that a more elongable suture material should have a positive impact on the tissue strangulation, Monomax® can follow peak loads (during coughing, movements, etc.) easier than PDS® II.
The latter one is rather rigid already beginning at low forces which might disturb the blood supply to the sutured tissues. [4]

Short Stitches Technique Video

In addition to the suture material, the technique plays an important role in the reduction of postoperative complications.

Monomax in Laparoscopy

Monomax® with hook needles for laparoscopic procedures.

The use of Monomax® is adequate for fascia closure in open or in laparoscopic procedures. [7,8]
Literature reports the need to use a slowly-absorbable or even non-absorbable suture to prevent trocar site hernias. [9]
Monomax® possibly reduces the incidence of incisional hernias in comparison to polypropylene sutures (in 2 years follow-up). [10]