Monomax® The suture for Abdominal Wall Closure
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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.
A UNIQUE SUTURE
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]