{"publication_status":"published","year":"2021","article_type":"original","_id":"3225","status":"public","publication":"SL Clinical Medicine: Research","date_created":"2023-06-15T12:10:16Z","title":"For they Know not What They do… Surgeons and Surgical Sutures","user_id":"245590","citation":{"ieee":"J. Höer and O. U. Wetter, “For they Know not What They do… Surgeons and Surgical Sutures,” <i>SL Clinical Medicine: Research</i>, vol. 4, no. 1, p. 122, 2021.","chicago":"Höer, Jörg, and Oliver Utz Wetter. “For They Know Not What They Do… Surgeons and Surgical Sutures.” <i>SL Clinical Medicine: Research</i> 4, no. 1 (2021): 122.","apa":"Höer, J., &#38; Wetter, O. U. (2021). For they Know not What They do… Surgeons and Surgical Sutures. <i>SL Clinical Medicine: Research</i>, <i>4</i>(1), 122.","alphadin":"<span style=\"font-variant:small-caps;\">Höer, Jörg</span> ; <span style=\"font-variant:small-caps;\">Wetter, Oliver Utz</span>: For they Know not What They do… Surgeons and Surgical Sutures. In: <i>SL Clinical Medicine: Research</i> Bd. 4, Scientific Literature (2021), Nr. 1, S. 122","short":"J. Höer, O.U. Wetter, SL Clinical Medicine: Research 4 (2021) 122.","ama":"Höer J, Wetter OU. For they Know not What They do… Surgeons and Surgical Sutures. <i>SL Clinical Medicine: Research</i>. 2021;4(1):122.","mla":"Höer, Jörg, and Oliver Utz Wetter. “For They Know Not What They Do… Surgeons and Surgical Sutures.” <i>SL Clinical Medicine: Research</i>, vol. 4, no. 1, Scientific Literature, 2021, p. 122.","bibtex":"@article{Höer_Wetter_2021, title={For they Know not What They do… Surgeons and Surgical Sutures}, volume={4}, number={1}, journal={SL Clinical Medicine: Research}, publisher={Scientific Literature}, author={Höer, Jörg and Wetter, Oliver Utz}, year={2021}, pages={122} }"},"volume":4,"keyword":["Incisional hernia","Fascial sutures","Laparotomy"],"quality_controlled":"1","publisher":"Scientific Literature","oa":"1","author":[{"full_name":"Höer, Jörg","last_name":"Höer","first_name":"Jörg"},{"first_name":"Oliver Utz","orcid":"0000-0003-3223-5050","id":"206920","full_name":"Wetter, Oliver Utz","last_name":"Wetter"}],"issue":"1","date_updated":"2023-08-18T11:53:40Z","page":"122","language":[{"iso":"eng"}],"intvolume":"         4","type":"journal_article","main_file_link":[{"url":"https://www.scientificliterature.org/Clinicalmedicine/Clinicalmedicine-21-122.pdf","open_access":"1"}],"abstract":[{"lang":"eng","text":"Incisional Hernia (IH) formation is the complication in abdominal surgery most often\r\nrequiring re-operation and has a considerable medical and socio-economic impact.\r\nEfforts to reduce IH incidence have mainly focused on suture material and suture\r\ntechnique in the last 50 years and have to be judged as ineffective. This review has its\r\nfocus on the surgeon as an underestimated risk factor for IH formation and the effects\r\nof inadequate suture tension on the sutured tissue and the dynamics of suture tension.\r\nSurgeons are not able to control suture tension and tend to apply high suture tension\r\nwhen asked to repeatedly knot sutures with identical suture tension. High suture tension\r\nleads to a significant reduction of tissue perfusion of the abdominal wall in animal\r\nexperiments and impaired tissue perfusion is a risk factor for IH formation. Fascial\r\nsutures in the abdominal wall show a spontaneous loss of suture tension of 50 % in\r\nvivo in animals under anesthesia for 24 hours and a complete loss of suture tension if\r\nan elevated intra-abdominal pressure is applied to simulate abdominal distension and\r\nmuscular activity. Further research to solve the problem of IH formation has to focus on\r\nthe surgeon with the aim to define a tissue-specific suture tension optimum. The\r\ncomplexity of the problems requires the cooperation of surgeons and technical\r\nengineers"}]}