The tensile properties of the intact and sutured human intestine were examined using Instron 1122 tensimeter on 471 cadaveric and 98 surgically removed specimens. By a constant strain rate method two maxima curves were received, which permit examination of the intestinal wall as a multi-layered structure. Repeatable results were generated for cadaveric and surgically removed intestines, whose mechanical properties were similar under certain storage conditions. The mechanical properties of intact intestine in axial and transversal directions were different. The mechanical strength of the intact intestinal wall was conditioned by the submucosa and muscularis, while the serosa and mucosa showed no significant strength. Comparison of axial specimens’ mechanical properties of the intact intestinal wall and intestinal wall with all layers sutured through determined that only the submucosa supplies mechanical strength to anastomosis. Other layers contribute no significant force to anastomotic strength. The strength applied to thread during knot tying does not change the participation of the intestinal layers in supplying suture-holding capacity for 8 and 12 mm stitch depth. It was shown graphically why sutures that don’t stitch onto the submucosa are unreliable.
As well as testing adhesion joints, in which the average adhesion shear strength is measured, there are widespread methods of testing for normal separation, in which the value called transversal strength is measured. This value is calculated as the ratio of the breaking load applied perpendicular to the gluing plane, to the gluing area. At the same time, two types of tests for normal separation - for cylindrical and prismatic joints - are now standardized. The article deals with the solution of this problem for prismatic compound obtained on the basis of the contact layer model.
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