Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study.
<h4>Objective</h4>This study aimed to investigate the suture length to wound length ratio (SL:WL) in an in vitro model of abdominal wall closure. Effects of the surgeon's experience level on the SL:WL ratio were evaluated, hypothesizing that small animal surgeons do not spontaneousl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0215641 |
| _version_ | 1819114681710673920 |
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| author | Moriz E Klonner Brigitte Degasperi Barbara Bockstahler Gilles Dupré |
| author_facet | Moriz E Klonner Brigitte Degasperi Barbara Bockstahler Gilles Dupré |
| author_sort | Moriz E Klonner |
| collection | DOAJ |
| description | <h4>Objective</h4>This study aimed to investigate the suture length to wound length ratio (SL:WL) in an in vitro model of abdominal wall closure. Effects of the surgeon's experience level on the SL:WL ratio were evaluated, hypothesizing that small animal surgeons do not spontaneously apply SL:WL ratios equal to or larger than 4:1.<h4>Procedures</h4>Three groups of surgeons with varying levels of experience performed 4 simple continuous sutures before (3 sutures) and after (1 suture) being educated on principles of the SL:WL ratio. All sutures were evaluated for their gaping, number of stitches, stitch intervals, tissue bite size and suture length.<h4>Results</h4>No significant differences in suture parameters or SL:WL ratios were found among the 3 groups, and 60.5% of control sutures and 77.0% of test sutures had SL:WL ratios above 4:1. There was a significant improvement in the mean ratio after the information was provided (p = 0.003). Overall, the SL:WL ratios ranged from 1.54:1 to 6.81:1, with 36.3% falling between 4:1 and 5:1 (5.17 mm mean stitch interval, 5.52 mm mean tissue bite size). A significant negative correlation was observed between the SL:WL ratio and the stitch interval to tissue bite ratio (r = -0.886). Forty-nine of 120 sutures fulfilled the current recommendations for abdominal wall closure with a mean SL:WL ratio of 4.1:1.<h4>Conclusion</h4>A SL:WL ratio larger than 4:1 was achieved in 60% of the control sutures and in 77% of test sutures. Additional animal studies are necessary to evaluate the SL/WL ratio in small animal surgery. |
| first_indexed | 2024-12-22T04:49:10Z |
| format | Article |
| id | doaj.art-825d995ee08648268b98f1c18feb1707 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-22T04:49:10Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-825d995ee08648268b98f1c18feb17072022-12-21T18:38:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01144e021564110.1371/journal.pone.0215641Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study.Moriz E KlonnerBrigitte DegasperiBarbara BockstahlerGilles Dupré<h4>Objective</h4>This study aimed to investigate the suture length to wound length ratio (SL:WL) in an in vitro model of abdominal wall closure. Effects of the surgeon's experience level on the SL:WL ratio were evaluated, hypothesizing that small animal surgeons do not spontaneously apply SL:WL ratios equal to or larger than 4:1.<h4>Procedures</h4>Three groups of surgeons with varying levels of experience performed 4 simple continuous sutures before (3 sutures) and after (1 suture) being educated on principles of the SL:WL ratio. All sutures were evaluated for their gaping, number of stitches, stitch intervals, tissue bite size and suture length.<h4>Results</h4>No significant differences in suture parameters or SL:WL ratios were found among the 3 groups, and 60.5% of control sutures and 77.0% of test sutures had SL:WL ratios above 4:1. There was a significant improvement in the mean ratio after the information was provided (p = 0.003). Overall, the SL:WL ratios ranged from 1.54:1 to 6.81:1, with 36.3% falling between 4:1 and 5:1 (5.17 mm mean stitch interval, 5.52 mm mean tissue bite size). A significant negative correlation was observed between the SL:WL ratio and the stitch interval to tissue bite ratio (r = -0.886). Forty-nine of 120 sutures fulfilled the current recommendations for abdominal wall closure with a mean SL:WL ratio of 4.1:1.<h4>Conclusion</h4>A SL:WL ratio larger than 4:1 was achieved in 60% of the control sutures and in 77% of test sutures. Additional animal studies are necessary to evaluate the SL/WL ratio in small animal surgery.https://doi.org/10.1371/journal.pone.0215641 |
| spellingShingle | Moriz E Klonner Brigitte Degasperi Barbara Bockstahler Gilles Dupré Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study. PLoS ONE |
| title | Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study. |
| title_full | Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study. |
| title_fullStr | Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study. |
| title_full_unstemmed | Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study. |
| title_short | Suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery: An experimental in vitro study. |
| title_sort | suture length to wound length ratio for simple continuous abdominal closures in veterinary surgery an experimental in vitro study |
| url | https://doi.org/10.1371/journal.pone.0215641 |
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