During the last two decades, major advances in surgical needle and nee
dle holder technology have markedly improved surgical wound repair. Th
ese advances include quantitative tests for surgical needle and needle
holders performance, high nickel maraging stainless steels, compound
curved needles, needle sharpening methods, laser-drilled holes for swa
ges, needle:suture ratios of 1:1, and the atraumatic needle holder.