ArticleBMC surgery2011
Tension of knotted surgical sutures shows tissue specific rapid loss in a rodent model.
Article in BMC surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 43 citations in OpenAlex.
- Advances in Decellularization of Fish Wastes for Extracellular Matrix Extraction in Sustainable Tissue Engineering and Regenerative Medicine.Bioengineering (Basel, Switzerland) · 2026Review
- Early Experience with Mesh Suture for DIEP Flap Abdominal Site Closures.Plastic and reconstructive surgery. Global open · 2024Article
- Article
- Duramesh registry study: short-term outcomes using mesh suture for abdominal wall closure.Frontiers in surgery · 2023Article
- Novel Elastic Threads for Intestinal Anastomoses: Feasibility and Mechanical Evaluation in a Porcine and Rabbit Model.International journal of molecular sciences · 2022Article
- The Best Closure Technique Without Mesh in Elective Midline Laparotomy Closure.Journal of abdominal wall surgery : JAWS · 2022Review
- Quantifying fascial tension in ventral hernia repair and component separation.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Evaluation of a new suture material (Duramesh™) by measuring suture tension in small and large bites techniques for laparotomy closure in a porcine model.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Construct validity of the SurgForce system for objective assessment of laparoscopic suturing skills.Surgical endoscopy · 2020Article
- Article
- Suture-Based Debris Behavior in the Draining Lymph Nodes of a Porcine Knee: A Study of Silicone, Polyethylene and Carbon.Arthroscopy, sports medicine, and rehabilitation · 2019Article
- Miniaturized Sensors Registering the Long-Term Course of Suture Tension In Vivo under Varying Intra-Abdominal Pressure.Sensors (Basel, Switzerland) · 2018Article
- Surgical sutures: coincidence or experience?Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Article
- An implantable sensor device measuring suture tension dynamics: results of developmental and experimental work.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Force sensing in surgical sutures.PloS one · 2013Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvery surgical suture compresses the enclosed tissue with a tension that depends from the knotting force and the resistance of the tissue. The aim of this study was to identify the dynamic change of applied suture tension with regard to the tissue specific cutting reaction.
methodsIn rabbits we placed single polypropylene sutures (3/0) in skin, muscle, liver, stomach and small intestine. Six measurements for each single organ were determined by tension sensors for 60 minutes. We collected tissue specimens to analyse the connective tissue stability by measuring the collagen/protein content.
resultsWe identified three phases in the process of suture loosening. The initial rapid loss of the first phase lasts only one minute. It can be regarded as cutting through damage of the tissue. The percentage of lost tension is closely related to the collagen content of the tissue (r = -0.424; p = 0.016). The second phase is characterized by a slower decrease of suture tension, reflecting a tissue specific plastic deformation. Phase 3 is characterized by a plateau representing the remaining structural stability of the tissue. The ratio of remaining tension to initial tension of phase 1 is closely related to the collagen content of the tissue (r = 0.392; p = 0.026).
conclusionsKnotted non-elastic monofilament sutures rapidly loose tension. The initial phase of high tension may be narrowed by reduction of the surgeons' initial force of the sutures' elasticity to those of the tissue. Further studies have to confirm, whether reduced tissue compression and less local damage permits improved wound healing.
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