If a surgeon requests a suture size but is unclear, what size is she likely to require for abdominal wall repair?

In abdominal wall repair, the most commonly used suture size is 2-0, which is suitable for the thickness and strength required in this type of procedure. The abdominal wall comprises several layers, including the skin, subcutaneous tissue, fascia, and peritoneum. A suture that is too small may not provide adequate strength to hold the layers together, while a suture that is too large can cause excessive tissue eversion and delayed healing.

Size 2-0 strikes a balance, offering sufficient tensile strength while being manageable for the surgeon to handle. Additionally, it is widely considered the standard choice for many soft tissue repairs, including abdominal wall procedures, since it provides enough durability for healing without being overly bulky.

This understanding helps orient the selection process, ensuring an appropriate choice based on the typical requirements of the surgery context.