GMCH - 2016
Medical & Surgical Nursing
Easy

The suture material that is both absorbable and synthetic is:

Appeared in: GMCH - 2016

Explanation

  • Polyglycolic acid is a synthetic, absorbable, braided multifilament suture.
  • It is a polymer of glycolic acid, which is broken down in the body through hydrolysis, a process where water molecules break down the polymer chains.
  • This mechanism ensures a predictable absorption rate (typically 60-90 days) and causes less tissue reaction compared to the enzymatic degradation of natural sutures.
  • It is commonly used for general soft tissue approximation and ligation, including in ophthalmic procedures.

Why Other Options Were Wrong

  • Option A: Polyamide (Nylon) is a synthetic suture, but it is non-absorbable. The body encapsulates it with fibrous tissue.
  • Option B: Polypropylene is also a synthetic suture, but it is non-absorbable. It is known for its high tensile strength and extremely low tissue reactivity.
  • Option D: Chromic catgut is absorbable, but it is a natural material, not synthetic. It is derived from the submucosa of sheep intestine or serosa of beef intestine and treated with chromic salts to delay absorption.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of surgical suture materials based on origin and absorption as background academic context rather than a clinical decision trigger.
  • Choosing the correct suture material is critical for proper wound healing. A synthetic absorbable suture like polyglycolic acid is ideal for internal tissues as it provides temporary support and then dissolves without needing removal, reducing infection risk and tissue trauma.
  • Nurses must be aware of the type of suture used, especially for skin closures, to know if they need to be removed or will dissolve on their own. This is a key part of patient discharge teaching.
  • What if the question asked for a suture that was natural and absorbable? In that case, Chromic catgut would be the correct answer.
How to Approach the Question
  • First, identify the key requirements from the question stem. Here, the suture must have two characteristics: 1) 'absorbable' and 2) 'synthetic'.
  • Next, evaluate each option against these two criteria.
  • Option A, Polyamide: Is it synthetic? Yes. Is it absorbable? No. Eliminate.
  • Option B, Polypropylene: Is it synthetic? Yes. Is it absorbable? No. Eliminate.
  • Option C, Polyglycolic acid: Is it synthetic? Yes. Is it absorbable? Yes. This matches both criteria.
  • Option D, Chromic catgut: Is it absorbable? Yes. Is it synthetic? No, it's natural. Eliminate.
Concept Tested & Keywords
  • Concept Tested: Classification of surgical suture materials based on origin and absorption.
  • Stem keywords: suture material, absorbable, synthetic
  • Lead-in keywords: is

Question ID

QTiezsZwBa1K1oIYV0fmON

Reference Book

E6 Gynecology Williams p. 430-440

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 81-83

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