The state of midline closure of the abdominal wall

Petter-Puchner, Alexander H.

doi:10.1002/bjs.9932

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Cited by 3 publications

(1 citation statement)

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“…14 The spacing of sutures to avoid tearing has intensely investigated. 15 However, the problem may actually be the 3000-year-old suture design of a flexible linear thread that concentrates forces at the STI to achieve tissue apposition. Stagnant progress in the hernia repair field 16 and a failure rate of suture repairs of incisional hernias of 63% at 10 years 17 perhaps is explained by this reliance on the standard suture design for tissue approximation.…”

Section: Discussionmentioning

confidence: 99%

Mesh Sutured Repairs of Abdominal Wall Defects

Lanier

Dumanian

Jordan

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionmentioning

confidence: 99%

Mesh Sutured Repairs of Abdominal Wall Defects

Lanier

Dumanian

Jordan

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Open Abdomen Strategies in Acute Care Surgery: When and How

Sugrue

2016

Acute Care Surgery Handbook

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Theoretic and Evidence-Based Laparotomy Closure with Sutures and Meshes

Mioton

Dumanian

2018

Plastic &Amp; Reconstructive Surgery

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The ultimate tensile strength of newly apposed tissue is the sum of the strength of the physical construct holding the tissues and the strength of biologic healing. For successful incisional hernia repair, the total strength of the repair must remain greater than the forces applied. While much work has been done to understand the science of wound healing-the ability of an open defect to contract and close-far less has been done to understand the healing of 2 newly approximated previously nonwounded surfaces held together with sutures or other implants. In this article, the elements of ultimate tensile strength on laparotomy closure as well as their progression over time will be related to clinical studies of abdominal wall closure.

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The state of midline closure of the abdominal wall

Abstract: A neglected subject

Cited by 3 publications

References 14 publications

Mesh Sutured Repairs of Abdominal Wall Defects

Mesh Sutured Repairs of Abdominal Wall Defects

Open Abdomen Strategies in Acute Care Surgery: When and How

Theoretic and Evidence-Based Laparotomy Closure with Sutures and Meshes

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