A medical device includes a surgical needle attached to a mesh suture having anti roping elements. The suture is constructed of a macroporous mesh wall that facilitates and allows tissue integration subsequent to introduction to the body thereby preventing suture pull through and improving biocompatibility. Advantageously the anti roping elements serve to maintain the desired construct of the mesh wall when undergoing axial tensile loads by resisting elongation and loss of outer mesh wall macroporosity while still permitting a flattening of the suture with lateral loading.
