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  • Synthetic sutures made of nonabsorbable (i.e., nonbiodegradable) polymeric (e.g., polyester, polypropylene, nylon) fiber threads. These sutures are typically available in sterile (either monofilament or multifilament, frequently braided) thread sections (e.g., 18and 30 in [45 and 76 cm long] attached to a single-use needle as an integral device; they are frequently colored for easy identification during surgery. Nonabsorbable synthetic sutures keep their tensile strength longer than two years, and complete absorption never occurs for most of these sutures; their intended use includes closure of infected wounds, vessel anastomosis, and prosthesis and implant fixation (anchoring). The sutures usually have a smooth surface but some sutures are made of barbed threads. Nonabsorbable barbed thread sutures are mainly used to suture without using knots (also known as knotless sutures); they can also be used for cosmetic procedures (e.g., face-lifting, cosmetic breast lifting).
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