ArticleSurgical endoscopy2023
Physiologic tension of the abdominal wall.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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.
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Who cites it
9 citing papers in PubMed, 9 citations in OpenAlex.
- Noninvasive fascial traction improves primary fascial closure and reduces the incidence of incisional hernia in open abdomens.The journal of trauma and acute care surgery · 2026Article
- Figure-of-eights vs running suture for fascial closure of large ventral hernias: do figure-of-eights induce ischemia?Surgical endoscopy · 2026Article
- Favorable one-year outcomes despite residual fascial tension after ventral hernia repair with transversus abdominis release.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Early and late outcomes of component separation with transversus abdominis release with mesh augmentation versus primary suturing for the management of abdominal dehiscence: a retrospective comparative study.World journal of emergency surgery : WJES · 2026Article
- Article
- Predicting fascial non-closure in ventral hernia repair with transversus abdominis release: risk factors, clinical outcomes, and implications for surgical planning.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- A virtual simulation study of the effects of laparotomy incision location and wound stiffness on abdominal wall mechanics.Scientific reports · 2025Article
- Utility of prophylactic mesh in the prevention of parastomal hernia after ileal conduit: assessing the current evidence.Translational andrology and urology · 2025Article
- The sagitta in 3D reconstruction of linea alba on routine CT scans is predictive of postoperative burst abdomen.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTension-free abdominal closure is a primary tenet of laparotomy. But this concept neglects the baseline tension of the abdominal wall. Ideally, abdominal closure should be tailored to restore native physiologic tension. We sought to quantify the tension needed to re-establish the linea alba in patients undergoing exploratory laparotomy.
methodsPatients without ventral hernias undergoing laparotomy at a single institution were enrolled from December 2021 to September 2022. Patients who had undergone prior laparotomy were included. Exclusion criteria included prior incisional hernia repair, presence of an ostomy, large-volume ascites, and large intra-abdominal tumors. After laparotomy, a sterilizable tensiometer measured the quantitative tension needed to bring the fascial edge to the midline. Outcomes included the force needed to bring the fascial edge to the midline and the association of BMI, incision length, and prior lateral incisions on abdominal wall tension.
resultsThis study included 86 patients, for a total of 172 measurements (right and left for each patient). Median patient BMI was 26.4 kg/m
conclusionIn patients undergoing laparotomy, the tension needed to re-establish the linea alba is approximately 1.94 lbs. A quantitative understanding of baseline abdominal wall tension may help surgeons tailor abdominal closure in complex scenarios, including ventral hernia repairs and open or burst abdomens.
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