**Question:** No touch technique of suturing should be undertaken to reduce risk of

A. infection
B. tissue damage
C. vascular injury
D. nerve injury

**Core Concept:** The no touch technique in suturing refers to avoiding direct contact of the instrument or needle with the tissue being operated on. This is crucial in certain surgical procedures to minimize potential complications and maximize patient safety.

**Why the Correct Answer is Right:** The correct answer (D) "nerve injury" is chosen because it highlights a specific risk associated with direct touch during suturing. The no touch technique helps to prevent accidental damage to nerves, which can lead to severe functional impairments and patient morbidity.

**Why Each Wrong Option is Incorrect:**

A. Infection: While maintaining aseptic technique is essential during surgery, the no touch technique primarily focuses on reducing tissue damage and nerve injury, not infection prevention.

B. Tissue damage: The main purpose of the no touch technique is to minimize tissue trauma, not infection control.

C. Vascular injury: Although avoiding direct contact can help reduce the risk of vascular injury, it is not the primary purpose of the no touch technique, as the main focus is on nerve injury prevention and tissue damage control.

**Clinical Pearl / High-Yield Fact:**

The no touch technique in suturing is particularly crucial when working with delicate tissues or structures, such as those near the surgical site or during procedures involving neurovascular bundles. By reducing tissue trauma and minimizing the risk of nerve injury, surgeons can improve patient outcomes, reduce complications, and enhance overall surgical success.

**Correct Answer:** D. Nerve injury