{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T22:38:37Z","timestamp":1772059117067,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T00:00:00Z","timestamp":1582243200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T00:00:00Z","timestamp":1582243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University Medical Center Rotterdam"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>After closure of laparotomies, sutures may pull through tissue due to too high intra-abdominal pressure or suture tension, resulting in burst abdomen and incisional hernia. The objective of this study was to measure the suture tension in small and large bites with a new suture material.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Closure of the<jats:italic>linea alba<\/jats:italic>was performed with small bites (i.e., 5\u00a0mm between two consecutive stitches and 5\u00a0mm distance from the incision) and large bites (i.e., 10\u00a0mm\u00a0\u00d7\u00a010\u00a0mm) with Duramesh\u2122 size 0 (2\u00a0mm) and PDS II 2-0 in 24 experiments on six porcine abdominal walls. The abdominal wall was fixated on an artificial computer-controlled insufflatable abdomen, known as the \u2018AbdoMan\u2019. A custom-made suture tension sensor was placed in the middle of the incision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The suture tension was significantly lower with the small bites technique and Duramesh\u2122 when compared with large bites (small bites 0.12\u00a0N (IQR 0.07\u20130.19) vs. large bites 0.57\u00a0N (IQR 0.23\u20130.92),<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.025). This significant difference was also found in favour of the small bites with PDS II 2-0 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.038). No macroscopic tissue failure was seen during or after the experiments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Closure of the abdominal wall with the small bites technique and Duramesh<jats:sup>\u2122<\/jats:sup>was more efficient in dividing suture tension across the incision when compared to large bites. However, suture tension compared to a conventional suture material was not significantly different, contradicting an advantage of the new suture material in the prevention of burst abdomen and incisional hernia during the acute, postoperative phase.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s10029-020-02140-7","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T10:02:53Z","timestamp":1582279373000},"page":"1317-1324","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Evaluation of a new suture material (Duramesh\u2122) by measuring suture tension in small and large bites techniques for laparotomy closure in a porcine model"],"prefix":"10.1007","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7804-8747","authenticated-orcid":false,"given":"Y.","family":"Yurtkap","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. 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