Ethicon #4-0 Black Braided Silk Suture #25m (R821)
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PERMA-HAND Suture is a nonabsorbable, sterile, surgical suture composed of an organic protein called fibroin. This protein is derived from the domesticated species Bombyx mori (B. mori) of the family Bombycidae. The sutures are processed to remove the natural waxes and gums, dyed black and coated with a special wax mixture. PERMA-HAND Suture is also available in its natural color, also available is PERMA-HAND Virgin Silk Suture in which the sericin gum is not removed and serves to hold the filaments together. PERMA-HAND Suture is indicated for use in general soft tissue approximating and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures. PERMA-HAND Suture elicits an acute inflammatory reaction in tissue, which is followed by a gradual encapsulation of the suture by fibrous connective tissue. While silk sutures are not absorbed, progressive degradation of the proteinaceous silk fiber in vivo may result in gradual loss of all of the suture's tensile strength over time. Due to the gradual loss of tensile strength which may occur over prolonged periods in vivo, silk suture should not be used where permanent retention of tensile strength is required.
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