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.

[1] In vivo test. Lab No. 3080.
[2] In vivo test. Lab No 2540.
[3] Lab No. 01C 01850 00.
[4] Data on file RDR/DID/MON/MAU/13118.
[5] Fortelny RH, Andrade D, Schirren M, Baumann P, Riedl S, Reisensohn C, et al. Effects of the Short Stitch Technique for Midline Abdominal Closure on Incisional Hernia (ESTOIH): Randomized Clinical Trial. Br J Surg 2022 Jun 16; znac194.
[6] Covered by patent EP 1638615 B1 (Polyhydroxyalkanoate medical textiles and fibers).
[7] van´t Riet M, Steyerberg EW, Nellensteyn J, Bonjer HJ, Jeekel J. Meta-analysis of technqiues for closure of midline abdominal incisions. Br J Surg. 2002; 89(11):1350-6.
[9] Hoyuela C. Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study. World J Gastrointest Surg. 2017;9(4):109-17.
[10] Fink C, Baumann P, Wente MN, Knebel P, Bruckner T, Ulrich A, et al. Incisional hernia rate 3 years after midline laparotomy. Br J Surg. 2014;101(2):51-4.
[11] Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia. 2011 Apr;15(2):113-21.
[12] Uske K, Rao SK, Venkateshwar P. Randomised controlled trial on comparison of absorbable extra long term (poly hidroxy butyrate) suture vs non absorbable (polypropylene) suture for abdominal wall closure. International Journal of Current Research. 2017;9(11):60651-9.