What is a limitation of using silk sutures in surgical procedures?

Silk sutures are known for their strength and handling properties; however, they are non-absorbable and can elicit tissue reactivity, which can be an important consideration in specific surgical situations. The selection of silk sutures for procedures involving the gallbladder is often discouraged because the sutures can induce a significant inflammatory response and tissue reaction that may lead to complications such as necrosis. The tissues in and around the gallbladder are particularly sensitive; thus, using silk in such procedures may result in delayed healing or adverse effects on the surrounding tissue, thereby compromising patient outcomes.

In contrast, the other choices, while they present potential concerns, do not align as closely with the primary issues associated with silk suture use in particular surgical procedures like gallbladder surgeries. Silk sutures are generally not difficult to handle, are not excessively absorbable (in fact, they do not absorb at all), and while they can cause some tissue reactivity, it’s the necrotic potential specifically in gallbladder procedures that stands out as a significant limitation.