• in case of absorbable suture under certain circumstances, notable orthopedic procedures, immobilization of joints by external support may be employed at the discretion of surgeon. As the risk of wound dehiscence may vary with the suture material and site of application.

• Surgeon should be familiar with surgical procedures and techniques involving absorbable sutures before using the suture for wound closure.

• Each USP size has its upper limits tensile strength (USP and EP), over stretch above this limit may lead to suture damage.

• Acceptable surgical practice should be followed with respect to drainage and closure of infected wounds.

• Sutures require the standard surgical technique of flat and square ties with additional throws if indicated by surgical circumstances and the experiences of the surgeon. Skin sutures which remain in place longer than 7 days may cause localized irritation and should be snipped off or removed (as all absorbable sutures a non-absorbable suture may be used for wounds under stress as extra support).

• Consideration should be taken in the use of absorbable sutures in tissues with poor blood supply as sutures extrusion and delayed absorption may occur. Subcuticular sutures should be placed as deeply as possible to minimize the erythema and induration normally associated with the absorption process.

• The absorbable suture may be inappropriate in elderly, malnourished, debilitated patients, or in patients suffering from conditions which may delay wound healing.

• The choice of suture type is the responsibility of surgeon based on his experience as each suture material has different absorption profile.

• As with any foreign body, prolonged contact of any suture with salt solution such as found in biliary and urinary tracts, may cause calculus formation.

• When handling any other suture material, care should be taken to avoid damage during the application of surgical instruments such as forceps or needle holders.

• Care should be taken during the holding of the needle by needle holder, so grasp the needle in an area 1/3 to 1/2 of the distance from the attachment end to the point otherwise the needle may be fractured or break.

• All needles are magnetizable and should therefore not be used in an active magnetic field.

• The users should exercise caution when handling the surgical needles to avoid inadvertent needle injury.