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MonoPlus® – The resilient one

When suturing requires time

MonoPlus® is a long term tear-resistant, monofilament suture material. MonoPlus® is therefore particularly valued in veterinary practices and clinics for abdominal wall closure, colon surgery and orthopaedic procedures. MonoPlus® is characterised by its good knot pull tensile strength.

Find the right suture

Whether in the veterinary clinic or in the veterinary practice – with our examples from the daily routine in the clinic and in the practice, we would like to illustrate the common use of different suture materials.

Close-up of a surgical procedure showing forceps holding a suture needle while stitching an incision in tissue, with surgical drapes visible around the operating area.

Indications

Orthopaedic surgery, capsular suturing
Colon surgery
Abdominal wall closure

MonoPlus® absorbable suture packaging with product label showing thread size, needle type, length, and B. Braun branding.

Properties and features

Degradation profile designed where an extended wound support is desirable
Wide range of needle-thread combinations
Good knot pull tensile strength retention

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Structure:	Monofilament, uncoated
Chemical composition:	Poly-p-dioxanone
Diameter:	USP 7/0 - USP 2
Colour:	violet
Absorption time:	~ 35 days
Knot tensile strength retention:	~ 35 days p. i. 50 %
Mass absorption:	~ 180 - 210 days

The monofilament advantages

The monofilament sutures appear to have the lowest infection promoting effects^1-4
Compared with braided multifilament sutures, absorbable monofilaments exhibit less tissue drag and cause less tearing because of their smooth surfaces⁵

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Tensile strength retention of the B. Braun synthetic suture for fast healing tissues

Monosyn® Quick: Short term absorbable suture for fast healing tissues.

Monosyn®: Mid term absorbable suture for soft tissue approximation.

MonoPlus®: Long term absorbable suture designed for slow healing tissues.

B. Braun offers a comprehensive synthetic absorbable monofilament portfolio.

Infographic titled ‘Tensile strength retention of the B. Braun synthetic suture for fast healing tissues’. On the left, explanatory text lists three absorbable sutures: Monosyn® Quick, described as a short-term absorbable suture for fast healing tissues; Monosyn®, described as a mid-term absorbable suture for soft tissue approximation; and MonoPlus®, described as a long-term absorbable suture designed for slow healing tissues. On the right, a stepped bar diagram shows tensile strength retention over time. The vertical axis is labeled ‘Initial tensile strength’. Three color-coded layers are displayed from top to bottom: – Monosyn® Quick, indicating approximately 50% tensile strength remaining after 6–7 days and 0% after 14–21 days. – Monosyn®, indicating approximately 50% tensile strength remaining after 14 days and 0% after 21–28 days. – MonoPlus®, indicating approximately 50% tensile strength remaining after 28–35 days and 0% after around 70 days. A horizontal time scale at the bottom highlights key points at 18 days, 28 days, and 70 days, illustrating the increasing duration of tensile strength retention from short-term to long-term absorbable sutures.

Related services and information

References

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999;27(2):97-132.
Choi HJ, Chae HD. Comparison of E. Coli infiltration between new synthetic absorbable sutures. J Korean Surg Soc. 2009;77(1):1-6.
Buresch A, Van Arsdale A, Ferzli M, Bernstein P, Garry D, Ngai I. Comparison of subcuticular suture type in post-cesarean wound complications: A randomized controlled trial American Journal of Obstetrics and Gynecology. 2017;216:1 Supplement 1 (S25).
Won H-S, Lee S-W, Kim Y-M, Kim A. Clinical usefulness and safety of the anti-bacterial coated multi lament suture (Vicryl Plus®) and mono lament suture (Monosyn®) in hysterectomy BJOG: An International Journal of Obstetrics and Gynaecology. 2012;119 SUPPL. 1 (44)
Im JN, Kim JK, Kim HK, Lee KY, Park WH. Characteristics of novel monofilament sutures prepared by conjugate spinning. J Biomed Mater Res B Appl Biomater. 2007;83(2): 499-504.