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  • Nonabsorbable natural sutures made of raw silk spun by silkworms (an animal protein). Silk sutures are usually classified as nonabsorbable, but they are subject to a slow (e.g., two year) process of proteolysis absorption. These sutures are typically available in sterile multifilament twisted or braided thread sections (e.g., 18, 30 inches/45, 76 cm long) attached to a single-use needle as an integral device; they are usually characterized by their excellent handling properties. Silk sutures are frequently available with beeswax or silicone coating; they are frequently colored for easy identification during surgery. Their intended use includes suturing of internal organs and tissues; noncoated silk sutures are usually intended for ophthalmic surgery.
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