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Page 6 of 8 Lesch et al. Mini-invasive Surg 2023;7:20 https://dx.doi.org/10.20517/2574-1225.2023.24
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Figure 2. Likelihood of secure closure (LOSC) until suture failure of USP 2/0 or UPS 1 Monomax sutures in Small-Bite (SB) or Large-
Bite (LB) technique closing a 15 cm long midline incision in porcine and bovine tissue depending on the amount of DIS impacts with 210
mmHg.
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Figure 3. Likelihood of secure closure (LOSC) until suture failure of USP 2/0 PDS sutures in standardized Small-Bite (SSSBs) technique
closing a 15 cm long midline incision with a 5 cm large circular defect (INDC5) in porcine tissue depending on the amount of DIS
impacts with 180 mmHg (B) or 210 mmHg (A).
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Figure 4. Likelihood of secure closure (LOSC) until suture failure of USP 2/0 Monomax (MM) or PDS sutures in standardized
Small-Bite (SSSBs) technique closing a 15 cm long midline incision with a 5 cm large circular defect (INDC5) in porcine tissue
depending on the amount of DIS impacts with 210 mmHg.
In low-risk cases, an unstandardized suture closure seems to be stable, regardless of the chosen technique
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and material. In high-risk cases, such as larger defects or unstable tissue, Monomax small-stitch-small-bite
sutures in standardized protocol appear to be a safer choice .
[13]