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Why shouldn't most braided or twisted non-absorbable sutures be used in the presence of active infection?

They break down too quickly

They become a breeding place for infection

Using braided or twisted non-absorbable sutures in the presence of active infection poses a significant risk because these types of sutures have a surface structure that can harbor bacteria. The interstices created by the braiding or twisting provide a niche where bacteria can thrive, making it challenging for the body's immune response to effectively eliminate the infection. Essentially, these sutures can act as a breeding ground for pathogens, exacerbating the infection and possibly leading to further complications such as abscess formation or delayed wound healing.

This inherent characteristic of braided sutures is a primary concern when dealing with infected wounds, as it can hinder the recovery process and increase the risk of postoperative infections. Therefore, it is critical to opt for suture materials that do not support bacterial colonization in such situations, ensuring a more favorable healing environment.

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They cannot hold tissue together

They are not biocompatible

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