Relative strength of a new suture technique for fascial closure.
In an attempt to decrease the risk of fascial dehiscence, a new suture technique for fascial closure is proposed, referred to as the "secured" stitch.  The secured interrupted stitch is performed by taking a double bite of fascia at each traditional site of fascial puncture.  Relative strength of the secured interrupted stitch in comparison with the simple interrupted stitch is determined in samples of fresh bovine fascia.  A significantly greater force is required to disrupt fascia repaired with the secured stitch compared with a simple interrupted repair.  The secured stitch may afford a greater degree of protection from fascial dehiscence.
Department of Obstetrics and Gynecology, Tulane University School of Medicine, New Orleans, Louisiana.
P R
PR
Summers
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MK
Biswas
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EH
Herrera
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AG
O'Quinn
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MK
Money
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Pernoll
D000818:Animals; D002417:Cattle; D005069:Evaluation Studies as Topic; D000071938:Fasciotomy; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013536:Suture Techniques; D013718:Tensile Strength