Ethicon PDS II Polydioxanone Suture NW9262
Surgical Sutures

Ethicon PDS II Polydioxanone Suture NW9262

Pack Sizes Available

Box of 12 sutures — model NW9262
NW9262: USP size 1, violet monofilament, 150cm strand, 1/2 circle 50mm round body heavy needle

Product Description

Abdominal wall closure after major laparotomy demands a suture that is still doing its job weeks after the operation, when the patient is coughing, breathing deeply in physiotherapy, and beginning to resume activity. Mass closure of the abdominal wall requires adequate tensile support for the full healing cycle — typically 4-6 weeks — because the risk of burst abdomen peaks at the point when the abdominal wound is under dynamic functional load but has not yet developed adequate collagen maturity. Ethicon PDS II is polydioxanone — a synthetic absorbable monofilament suture with one of the longest strength retention profiles among absorbable suture materials. PDS II retains approximately 70% of its original tensile strength at 2 weeks post-implantation and approximately 50% at 4 weeks, providing meaningful mechanical support through the entire primary wound healing phase. Complete absorption by hydrolysis occurs between 182 and 238 days — well past the point at which support is needed. The NW9262 product code identifies a large, heavy version for major fascial and abdominal wall closure: USP size 1 (EP 4), violet monofilament, 150cm strand (length sufficient for continuous mass closure of a midline laparotomy), fitted with a 50mm 1/2 circle round body heavy needle. The round body needle has a tapered point and no cutting edge — it pushes through tissue rather than cutting, which preserves tissue integrity and reduces the risk of suture pullout through the widened needle track that a cutting needle creates. The violet colour provides excellent visibility in deep wounds during continuous suture placement and facilitates identification at any subsequent procedure if the suture is still present before absorption is complete. PDS II is also used for fascial repair in hernia surgery when a delayed-absorbable suture is preferred over permanent suture, and in paediatric cardiovascular surgery where tissue growth at the suture site is expected. Sara Wellness exports Ethicon sutures to medical distributors internationally.

Technical Specifications

  • Material: Polydioxanone (PDS) — synthetic absorbable monofilament
  • Model Code: NW9262
  • Suture Specification: USP size 1 (EP 4), violet monofilament, 150cm strand
  • Needle: 50mm, 1/2 circle, round body heavy (taper-point)
  • Strength Retention: 70% at 2 weeks; 50% at 4 weeks; 25% at 6 weeks post-implantation
  • Absorption: Complete absorption by hydrolysis: 182-238 days
FAQ

Frequently asked questions

PDS II (polydioxanone) maintains approximately 70% of its original tensile strength at 2 weeks post-implantation, approximately 50% at 4 weeks, and approximately 25% at 6 weeks. This prolonged strength retention profile means PDS II continues to provide meaningful mechanical support through the complete primary wound healing phase, making it suitable for closure of structures that bear significant mechanical load — abdominal fascia, tendon repairs, and other tissues where short-acting absorbable sutures would lose their support too early.

PDS II is plain polydioxanone — the standard formulation without any additives. PDS Plus is the same polydioxanone monofilament with an additional triclosan antibacterial coating, designed to inhibit bacterial colonisation on the suture surface and reduce the risk of surgical site infection. PDS Plus provides an additional layer of infection prevention at no change in mechanical properties. For high-risk patients (obese, diabetic, immunocompromised) or contaminated or clean-contaminated cases, PDS Plus is preferred. For standard elective clean cases, PDS II is the standard option.

A round body needle with a taper point pushes through tissue rather than cutting it — the pointed tip separates tissue fibres, and the round body of the needle passes through the separated path without creating a cutting-edge track. For fascial tissue, which has high tensile strength due to its organised collagen fibre structure, a cutting needle creates a wider, weaker needle track than the suture's own diameter. With a round body needle, the tissue closes back around the suture without the widened track, reducing the risk of suture pullout under tension during post-operative loading.

Yes. PDS II is indicated for use in paediatric cardiovascular surgery where tissue growth is expected to occur at the suture site. In adults, permanent non-absorbable sutures (polypropylene) are used for most cardiovascular repairs because permanent support is required. In paediatric cases, the suture site may need to accommodate tissue growth over time, and a suture that is still present many years after surgery can restrict this growth — PDS II's absorption by approximately 6-8 months allows the tissue to grow normally while still providing the structural support needed during the critical healing period.

The Jenkins rule for abdominal closure recommends a suture length to wound length ratio of at least 4:1, achieved by taking bites approximately 1cm from the wound edge and 1cm apart in a running mass closure suture of the full thickness of the fascia (and peritoneum in many protocols). PDS II size 1 on a 150cm strand provides sufficient length for most laparotomy closures. Small bite size closure (5mm bites, 5mm apart) has become increasingly preferred following evidence of lower burst abdomen rates compared to larger bite techniques.

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