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  • Nonabsorbable natural sutures made of twisted long cotton fibers. Cotton sutures lose about 50% of their tensile strength in a six-month period and become encapsulated within body tissues. These sutures are typically available in sterile multifilament braided thread sections (e.g., 18, 30 in [45, 76 cm] long) attached to a single-use needle as an integral device; they are frequently colored for easy identification during surgery. Their intended use includes suturing internal organs, tissues, and vessels (e.g., in nephrostomy procedures); their current use is limited due to their low strength and occasional adverse reactions within tissues.
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