Evidence map›Paper›PMID 24376812›Full record

ArticlePloS one2013

Force sensing in surgical sutures.

Tim Horeman, Evert-Jan Meijer, Joris J Harlaar, Johan F Lange, John J van den Dobbelsteen, Jenny Dankelman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 36 citations in OpenAlex.

  1. Observational
  2. Mechanical Properties of Bioengineered Corneal Stroma.Advanced healthcare materials · 2021
    Review
  3. Article
  4. Quantifying fascial tension in ventral hernia repair and component separation.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
  5. Suction-fixing surgical device for assisting liver manipulation with laparoscopic forceps.International journal of computer assisted radiology and surgery · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Holding Strength of Suture: An Experimental Study Using Porcine Kidney.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tim HoremanDepartment of Biomechanical Engineering, Technical University Delft, Delft, The Netherlands.
Evert-Jan MeijerDepartment of Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Joris J HarlaarDepartment of Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Johan F LangeDepartment of Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
John J van den DobbelsteenDepartment of Biomechanical Engineering, Technical University Delft, Delft, The Netherlands.
Jenny DankelmanDepartment of Biomechanical Engineering, Technical University Delft, Delft, The Netherlands.
Delft University of Technology · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tension in a suture is an important factor in the process of wound healing. If there is too much tension in the suture, the blood flow is restricted and necrosis can occur. If the tension is too low, the incision opens up and cannot heal properly. The purpose of this paper is to describe the design and evaluation of the Stitch Force (SF) sensor and the Hook-In Force (HIF) sensor. These sensors were developed to measure the force on a tensioned suture inside a closed incision and to measure the pulling force used to close the incision. The accuracy of both sensors is high enough to determine the relation between the force in the thread of a stitch and the pulling force applied on the suture by the physician. In a pilot study, a continuous suture of 7 stitches was applied on the fascia of the abdominal wall of multiple pigs to study this relationship. The results show that the max force in the thread of the second stitch drops from 3 (SD 1.2) to 1 (SD 0.3) newton after the 4(th) stitch was placed. During placement of the 5(th), 6(th) and 7(th) stitch, the force in the 2(nd) stitch was not influenced anymore. This study indicates that in a continuous suture the force in the thread remains constant up to more than 3 stiches away from the pulled loose end of the suture. When a force feedback tool is developed specially for suturing in surgery on patients, the proposed sensors can be used to determine safety threshold for different types of tissue and sutures.

Indexed as

SoftwareStress, MechanicalAbdominal WallAnimalsEquipment DesignSuturesSuture TechniquesSwineWound Healing

Identifiers

PMID24376812
PMCPMC3871579
OpenAlexW2043014578

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.