MINI REVIEW article
Front. Surg.
Sec. Reconstructive and Plastic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1674382
Biomechanical mechanism and clinical management progress of surgical wound tension
Provisionally accepted
- Affiliated Hospital of Zunyi Medical University, Zunyi, China
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【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.
Keywords: Surgical wound tension, Wound Healing, Biomechanics, Quantitative evaluation, Clinical Management
Received: 28 Jul 2025; Accepted: 28 Aug 2025.
Copyright: © 2025 yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Gong fei yu, Affiliated Hospital of Zunyi Medical University, Zunyi, China
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