Which of the following is the best suture type for closure of the dermal/subcutaneous layer of the skin?

Monocryl, also known as poliglecarone, is an ideal choice for closing the dermal and subcutaneous layers of the skin due to its properties. It is a synthetic monofilament absorbable suture, which means that it provides excellent tensile strength and will gradually be absorbed by the body over time, minimizing the risk of foreign body reaction and scarring after the wound has healed.

Another advantage of Monocryl is its smooth passage through tissue, which reduces tissue trauma and encourages optimal healing conditions in the dermal and subcutaneous layers. Since these layers can benefit from the absorption characteristics of this type of suture, it helps in minimizing long-term suture presence and promotes a more aesthetically pleasing outcome.

In contrast, the other suture materials, while they have their places in surgical practice, do not offer the best characteristics for closure in this specific context. Silk is a non-absorbable natural suture that can leave behind long-term material that might cause a chronic inflammatory response, which is not preferred for internal layers. Vicryl, though also absorbable, is a braided material that can cause more tissue drag during placement, and Prolene, being a non-absorbable monofilament suture, is more