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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 .
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