Pérez Lara FJ, Zubizarreta Jimenez R, Moya Donoso FJ, Hernández Gonzalez JM, Prieto-Puga Arjona T, Marín Moya R, Pitarch Martinez M. Novel suturing technique, based on physical principles, achieves a breaking point double that obtained by conventional techniques . World J Gastrointest Surg 2021; 13(9): 1039-1049 [PMID: 34621479 DOI: 10.4240/wjgs.v13.i9.1039]
Corresponding Author of This Article
Francisco Javier Pérez Lara, PhD, Doctor, Department of Surgery, Hopital de Antequera, Avda. Poeta Muñoz Rojas sn, Antequera 29200, Malaga, Spain. javinewyork@hotmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2021; 13(9): 1039-1049 Published online Sep 27, 2021. doi: 10.4240/wjgs.v13.i9.1039
Novel suturing technique, based on physical principles, achieves a breaking point double that obtained by conventional techniques
Francisco Javier Pérez Lara, Rogelio Zubizarreta Jimenez, Francisco Javier Moya Donoso, Jose Manuel Hernández Gonzalez, Tatiana Prieto-Puga Arjona, Ricardo Marín Moya, Maria Pitarch Martinez
Francisco Javier Pérez Lara, Francisco Javier Moya Donoso, Jose Manuel Hernández Gonzalez, Tatiana Prieto-Puga Arjona, Ricardo Marín Moya, Maria Pitarch Martinez, Department of Surgery, Hopital de Antequera, Malaga 29200, Spain
Author contributions: Pérez Lara FJ made a substantial contribution to the concept and design, drafted the article or revised it critically for important intellectual content, and approved the version to be published; Zubizarreta Jimenez R drafted the article or revised it critically for important intellectual content and approved the version to be published; Moya Donoso F approved the version to be published; Hernández González JM approved the version to be published; Prieto-Puga T approved the version to be published; Marín Moya R approved the version to be published; Pitarch Martínez M approved the version to be published.
Institutional review board statement: This study didn't involve the human subjects.
Conflict-of-interest statement: The authors have no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement, and the manuscript was prepared and revised according to the STROBE Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Francisco Javier Pérez Lara, PhD, Doctor, Department of Surgery, Hopital de Antequera, Avda. Poeta Muñoz Rojas sn, Antequera 29200, Malaga, Spain. javinewyork@hotmail.com
Received: January 29, 2021 Peer-review started: January 29, 2021 First decision: May 4, 2021 Revised: May 10, 2021 Accepted: August 4, 2021 Article in press: August 4, 2021 Published online: September 27, 2021 Processing time: 231 Days and 17.1 Hours
ARTICLE HIGHLIGHTS
Research background
The basic suture technique has not changed significantly since ancient times.
Research motivation
To find a suture more resistant than the usual ones.
Research objectives
To compare the two types of suture used in standard practice with the proposed new design, the double diabolo.
Research methods
The authors manufactured a device to apply a progressively-increasing separation force to the suture surfaces, and to measure the tension exerted until the breaking point is reached.
Research results
With the “double diabolo” suture, in comparison with conventional sutures, greater force must be applied to reach the breaking point.
Research conclusions
The results obtained in this study experimentally confirm our hypothesis that the double diabolo design has a breaking point that is almost twice that of the simple interrupted suture and more than twice that of the continuous suture.
Research perspectives
Phase III of our study is now in progress, in which we will evaluate the results of laparotomy closure comparing the performance of the double diabolo suture with that of the two traditional techniques.
