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I read the instructive and informative article by Gandham and Menon. However, I was concerned to note that in figure 1 the suture needle appears to be held by the thumb and index finger of the operator. Needle handling has been linked to glove perforation that can be significantly reduced if the suture needle is held only with instruments.2 This forms a key part of a non-touch suture technique as taught on the Basic Surgical Skills course.3 Do the authors feel that needle handling is a low risk practice?