ArticleHernia : the journal of hernias and abdominal wall surgery2020
Suturable mesh better resists early laparotomy failure in a cyclic ball-burst model.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 19 citations in OpenAlex.
- Early outcomes of umbilical hernia repair with mesh suture.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Early outcomes of contaminated midline incisional hernia repair with mesh suture.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Mesh suture repair of rectus diastasis with and without a concurrent ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Outcomes Following Implantation With Mesh Suture: A Registry of 1111 Patients.Plastic and reconstructive surgery. Global open · 2025Article
- Short-term outcomes of mesh-suture repair in the treatment of ventral hernias: a single-center study.Surgical endoscopy · 2025Article
- A Narrative Review of Mesh Suture in Abdominal Wall Reconstruction: Biomechanics, Early Outcomes, and Proposed Clinical Algorithm.Journal of abdominal wall surgery : JAWS · 2025Review
- Mesh Suture and Mesh Strips to Prevent Incisional Hernia Following Abdominal Wall Closure or Ventral Hernia Repair: Systematic Review.Journal of abdominal wall surgery : JAWS · 2025Review
- Early Experience with Mesh Suture for DIEP Flap Abdominal Site Closures.Plastic and reconstructive surgery. Global open · 2024Article
- Strength of small-bites abdominal wall closure using different suturing methods and materials in an experimental animal model.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Mesh Strip Repair for Midline Ventral Hernias: A Case Series.Plastic and reconstructive surgery. Global open · 2024Article
- Novel mesh suture may resist bone cutting seen with wire-based sternal closures.JTCVS techniques · 2023Article
- Duramesh registry study: short-term outcomes using mesh suture for abdominal wall closure.Frontiers in surgery · 2023Article
- A Biomechanical Analysis of Prophylactic Mesh Reinforced Porcine Laparotomy Incisions.The Journal of surgical research · 2022Article
- An In Vivo Comparison: Novel Mesh Suture Versus Traditional Suture-Based Repair in a Rabbit Tendon Model.Journal of hand surgery global online · 2022Article
- Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in a Porcine Laparotomy Closure Model.Plastic and reconstructive surgery. Global open · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe small bites surgical technique supported by the STITCH trial has been touted as a strategy for preventing early laparotomy dehiscence through greater force distribution at the suture-tissue interface. However, this hernia prevention strategy requires an alteration in the standard closure technique that has not been widely adopted in the USA. This study seeks to determine whether incorporating a mid-weight polypropylene mesh material into a hollow-bore surgical suture material will effectively increase the force distribution at the suture-tissue interface and potentially help prevent early laparotomy dehiscence in an ex vivo model.
methodsA cyclic stress ball-burst model was used to compare suturable mesh (0 DuraMesh™) to conventional suture. After midline laparotomy, 28 porcine abdominal wall specimens were closed with either 0 DuraMesh™ or #1 polydioxanone double-loop suture. A custom 3D-printed ball-burst test apparatus was used to fatigue the repair on a MTS Bionix Load Frame. The tissue was repetitively stressed at a physiological force of 15-120 N cycled at a rate of 0.25 Hz for a total of 1000 repetitions, followed by a load to failure, and the maximal force was recorded.
resultsThe mean maximal force at suture pull-through was significantly higher (p < 0.0095) in the 0 DuraMesh suture group (mean: 850.1 N) compared to the 1 PDS group (mean: 714.7 N).
conclusionThis ex vivo study suggests that using rational suture design to improve force distribution at the suture-tissue interface may be a viable strategy for preventing the suture pull-through that drives incisional hernia.
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