What instrument is integral to the control of a suture during wound closure?

The needle holder is integral to the control of a suture during wound closure because it is specifically designed to securely grasp the needle while facilitating precise placement of sutures. This instrument allows the surgeon to manipulate the needle with stability, ensuring that the sutures are placed correctly and with the appropriate tension, which is crucial for proper wound healing.

The design of a needle holder enables a secure grip on the needle, minimizing the risk of needle slippage and allowing for accurate angling and depth during the suturing process. This precision is essential in achieving optimal tissue approximation and minimizing scarring.

In contrast, the other instruments listed serve different purposes in the surgical procedure. A scalpel is primarily used for making incisions, not for holding or controlling sutures. Forceps, while useful for grasping and manipulating tissue, do not provide the same level of stability and control over a needle as a needle holder does. A curette is utilized for scraping tissue or removing material and is not involved in the suturing process. Thus, the needle holder stands out as the key instrument for suture control during wound closure.