Surgical sutures are sterile medical devices, also known as stiches, used for stitching of cuts and incisions made after surgery. Surgical sutures application involves use of suture needle with different sizes. Based on the need and indication of a patient, surgical sutures are used by doctors especially surgeons, physicians, pediatric/neonatal, dentists, registered nurses, and paramedical staffs. Cardiac surgery, neurosurgery, vascular surgery, oncosurgery, orthopedic surgery, urosurgery, ENT (Ear, Nose & Throat) surgery, organ transplant cases, etc. are the major applications of surgical sutures. Surgical sutures not only enhance wound healing process, but are also efficient in reducing surgical site infections. Ideal sutures have high tensile strength and knot security, are resistant to infection, and possess high elasticity and plasticity to withstand the complications of wound swelling.

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Surgical sutures are broadly segmented into two categories: absorbable and non-absorbable. These are sub-divided into natural and synthetic sutures, coated & non-coated, and monofilament and multifilament. Absorbable sutures dissolve in the tissue over a period as part of metabolism. Non-absorbable sutures need to be removed manually after wound healing. Based on material, surgical sutures are further classified into natural material and synthetic material. Natural sutures are made from catgut, silk, cotton, and natural steel. Synthetic sutures are made from polyglycolic acid, polylactic acid, polyvinyleidene fluoride (PVDF), monocryl, polydioxanone, polyester, and polypropylene. Increasing demand for minimum surgical site infection (SSI) has led to development of drug coated sutures. These sutures are coated with antimicrobial agents on the surface to prevent microbial colony formation at the site of insertion. Monofilaments are single stranded sutures, while in multifilament sutures multiple fibers are woven together. Monofilaments are less traumatic to patients and are less likely to be associated with infection. Multifilament sutures do not slip and have improved strength as these are braided with number of filaments.

Increasing prevalence of chronic diseases especially cardiac diseases and cancer among the geriatric population across the globe, increasing number of bariatric, C-section & orthopedic surgeries, increasing number of road accidents, and demand for early wound healing and shorter hospital stay are the key drivers of the global surgical sutures market. Need and development of minimally invasive procedures leading to minimizing surgical site infection (SSI) and higher cost of coated sutures are the factors restraining the global surgical sutures market.
In terms of region, the global surgical sutures market has been segmented into North America, Europe, Asia Pacific, Middle East & Africa, and Latin America. North America holds the major share of the global sutures surgical market, followed by Europe. Cardiac disease is the leading cause of death and cancer is the second leading cause of death in the U.S. This indicates that there is increasing number of cardiac surgeries and cancer surgeries. Asia Pacific is projected to witness higher growth rate in the next few years primarily because of improving health care infrastructure, increasing number of surgeries, and growth of the health care sector.

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Leading players in the global surgical sutures market are Johnson & Johnson (Ethicon), B. Braun Melsungen AG, Medtronic, Sutures India Pvt. Ltd., DemeTECH Corporation, WL Gore & Associated, and Endoevolution, LLC. Ethicon, Inc. is the leading brand for surgical sutures globally and accounts for the largest market share. B. Braun Melsungen AG dominates the surgical sutures market in Europe. Sutures India Pvt. Ltd. Is expected to record highest growth rate in Asia Pacific in the near future as a result of increased investment by market players.

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