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• W4387225562 abstract "Skin flap is a common technique used by surgeons to close the wound after the resection of a lesion. Careful planning of a skin flap procedure is essential for the most optimal functional and aesthetic outcome. However, currently surgical planning is mostly done based on surgeons’ experience and preferences. In this paper, we introduce a finite element method (FEM) simulation that is used to make objective recommendations of the most optimal flap orientation. Rhomboid flap is chosen as the main flap type of interest because it is a very versatile flap. We focus on evaluating suture forces required to close a wound as large tension around it could lead to complications. We model the skin as an anisotropic material where we use a single direction to represent the course of relaxed skin tension lines (RSTLs). We conduct a thorough search by rotating the rhomboid flap in small increments (1 $$^{circ }$$ –10 $$^{circ }$$ ) and find the orientation that minimizes the suture force. We repeat the setup with different material properties and the recommendation is compared with textbook knowledge. Our simulation is validated with minimal error in comparison with other existing simulations. Our simulation shows to minimize suture force, the existing textbook knowledge recommendation needs to be further rotated by 15 $$^{circ }$$ –20 $$^{circ }$$ ." @default.
• W4387225562 created "2023-10-01" @default.
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• W4387225562 date "2023-01-01" @default.
• W4387225562 modified "2023-10-03" @default.
• W4387225562 title "Analysis of Suture Force Simulations for Optimal Orientation of Rhomboid Skin Flaps" @default.
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• W4387225562 doi "https://doi.org/10.1007/978-3-031-43996-4_55" @default.
• W4387225562 hasPublicationYear "2023" @default.
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