What is the basis for needle selection for suturing?

Updated: Mar 05, 2020
  • Author: Desiree Ratner, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

No standardized sizing system or nomenclature is available for needles. The main consideration in needle selection is to minimize trauma. A taper-point needle is sufficient for tissues that are easy to penetrate. Cutting needles are typically reserved for tough tissues. As a general rule, taper-point needles may be used for all closures except skin sutures. The length, diameter, and curvature of the needle influence the surgeon’s ability to place a suture. Ideally, the needle-body diameter matches the suture size.


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