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Natural sutures made of nonabsorbable (i.e., nonbiodegradable) materials not metabolized by the body. These sutures typically consist of raw silk spun by silkworms (an animal protein) or, less frequently, products derived from vegetable fibers (e.g., cotton, linen); they are typically available in sterile thread sections (e.g., 18, 30 in [45, 76 cm] long) attached to a single-use needle as an integral device. The sutures are frequently colored for easy identification during surgery. Nonabsorbable natural sutures are frequently encapsulated by fibrous connective tissue; their intended use includes suturing of internal organs and tissues.
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