Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	63590
Country	Spain

Category	Surgery
Manuscript Type	Observational Study
Article Title	Novel suturing technique, based on physical principles, which achieves a breaking point double that obtained by conventional techniques
Manuscript Source	Invited Manuscript
All Author List	Francisco Javier Pérez Lara, Rogelio Zubizarreta Jimenez, Francisco Javier Moya Donoso, Jose Manuel Hernández Gonzalez, Tatiana Prieto-Puga Arjona, Ricardo Marín Moya and Maria Pitarch Martinez
Funding Agency and Grant Number
Corresponding Author	Francisco Javier Pérez Lara, PhD, Doctor, Department of Surgery, Hopital de Antequera, Avda. Poeta Muñoz Rojas sn, Malaga 29200, Spain. javinewyork@hotmail.com
Key Words	Suture; Technique; Physical principles; Tension
Core Tip	The aim of this project is to design and validate a new technique that imposes the least possible tension on the suture threads and entry/exit points, thus creating a suture that is more stable and resistant. We 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. With this device we compared three groups: simple interrupted stitches, continuous stitches and our proposed technique.
Citation	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, which achieves a breaking point double that obtained by conventional techniques. World J Gastrointest Surg 2021; 13(9): 1039-1049

Received	2021-01-29 20:23
Peer-Review Started	2021-01-29 20:32
To Make the First Decision
Return for Revision	2021-05-04 01:57
Revised	2021-05-10 15:57
Second Decision	2021-08-04 03:34
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2021-08-04 08:51
Articles in Press	2021-08-04 08:51
Publication Fee Transferred
Edit the Manuscript by Language Editor	2021-08-14 22:18
Typeset the Manuscript	2021-09-17 13:06

ISSN	1948-9366 (online)
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/
Copyright	© The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com