Biomechanical mechanism and clinical management progress of surgical wound tension.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1674382

Feiyu Gong, Bingjie Wan, Ping Qi, Zairong Wei

引用次数: 0

Abstract

Surgical wound tension, a core biomechanical factor in tissue repair, is clinically important because high tension can cause microcirculatory disturbances, leading to inhibition of cell migration and collagen deposition, and increasing complications such as wound dehiscence and incisional hernia. Therefore, the concept of "active tension reduction" has been emphasized, including preoperative optimization of biomechanical distribution, intraoperative layered combined subcutaneous tension-reducing suturing, and postoperative dynamic management. However, the difficulty in standardizing wound tension quantification presents clinical challenges. In summary, this study integrates the biomechanical mechanisms of surgical wound tension with clinical practice to explore a systematic strategy from tension assessment to novel intervention techniques.

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外科创面张力的生物力学机制及临床处理进展。

手术创面张力是组织修复中的一个核心生物力学因素，在临床上具有重要意义，因为高张力会引起微循环障碍，导致细胞迁移和胶原沉积受到抑制，并增加创面裂开和切口疝等并发症。因此，“主动减压”的概念被强调，包括术前优化生物力学分布、术中分层联合皮下减压缝合、术后动态管理。然而，创面张力定量标准化的难度给临床带来了挑战。总之，本研究将外科伤口张力的生物力学机制与临床实践相结合，探索从张力评估到新型干预技术的系统策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.