2007-03-01
Creep Behavior of Commonly Used Suture Materials in Abdominal Wall Surgery
Publication
Publication
Journal of Surgical Research , Volume 138 - Issue 1 p. 51- 55
Background: The incidence of incisional hernia after abdominal wall closure is high. Furthermore, recurrence is a significant complication after correction of all abdominal wall hernias. Besides surgeon- and patient-related factors, in this experimental study a third factor, i.e., creep behavior of suture materials, is introduced and evaluated. Materials and methods: Creep measurements were performed on 0 and 2-0 Prolene (Ethicon, Johnson & Johnson Intl., Somerville, NJ) and 1 and 2-0 PDSII (Ethicon, Johnson & Johnson Intl.) sutures. Two different loads were used representing normal intra-abdominal pressure (IAP) and pathological IAP. A mean percentage of elongation was calculated for each type of suture material. Statistical analysis was performed using analysis of variance. Results: All suture materials showed significant (3-51%) creep behavior. Prolene sutures showed more creep than PDSII sutures in both loading conditions. Conclusions: As significant creep was demonstrated for commonly used suture materials, creep might be a significant influential factor with regard to the etiology of incisional hernias and recurrence after abdominal wall hernia repair.
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doi.org/10.1016/j.jss.2006.06.001, hdl.handle.net/1765/61276 | |
Journal of Surgical Research | |
Organisation | Department of Oral and Maxillofacial Surgery |
Nout, E., Lange, J., Salu, N., Wijsmuller, A. R., Hop, W., Goossens, R., … Kleinrensink, G. J. (2007). Creep Behavior of Commonly Used Suture Materials in Abdominal Wall Surgery. Journal of Surgical Research, 138(1), 51–55. doi:10.1016/j.jss.2006.06.001 |