Wachtel, Nikolaus and Heidekrueger, Paul and Brenner, Carolin and Endres, Maximilian and Burgkart, Rainer and Micheler, Carina and Thon, Niklas and Ehrl, Denis (2022) Finding the Optimal Surgical Incision Pattern-A Biomechanical Study. JOURNAL OF CLINICAL MEDICINE, 11 (9): 2600. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
The closure of wounds and subsequent optimal wound healing is essential to any successful surgical intervention. Especially on parts of the body with limited possibilities for local reconstruction, optimal distribution of load is essential. The aim of the present study was therefore to examine three different incision patterns, conventional straight, Lazy-S and Zigzag, with regard to their biomechanical stability and mode of failure on a porcine skin model. Our results demonstrate the superior biomechanical stability of Lazy-S and Zigzag incision patterns with perpendicular suture placement. This holds true, in particular, for Zigzag incisions, which showed the highest values for all parameters assessed. Moreover, the observed superior stability of Lazy-S and Zigzag incision patterns was diminished when sutures were placed in tensile direction. The conventional straight incision represents the standard access for a large number of surgical procedures. However, we were able to demonstrate the superior biomechanical stability of alternative incision patterns, in particular the Zigzag incision. This is most likely caused by an improved distribution of tensile force across the wound due to the perpendicular placement of sutures. Moreover, this technique offers additional advantages, such as a better overview of the operated area as well as several cosmetic improvements. We therefore advocate that the surgeon should consider the use of a Zigzag incision over a conventional straight incision pattern.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TENSION; RECONSTRUCTION; EXPERIENCE; MANAGEMENT; SCALP; FLAP; SKIN; surgical incision; wound healing; zigzag incision |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Feb 2024 14:48 |
| Last Modified: | 29 Feb 2024 14:48 |
| URI: | https://pred.uni-regensburg.de/id/eprint/58232 |
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