Suture holding (low stress)
Elevated stress
Torn / critical
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A row of sutures closes an incision by pulling its two edges together, but the tissue between stitches is only held closed indirectly, through the elasticity of the flap itself. This simulator runs that as a real mass-spring system: each suture is a spring linking the wound's left and right edges, each edge point is coupled to its neighbours by tissue stiffness, and a suture that carries more force than the tissue's tensile limit tears and reopens. Set suture count, tension and tissue stiffness, then fire a strain event — a cough or an early movement — and watch live readouts for peak suture stress, mean residual gap and how many bites failed, the same trade-off surgeons balance when planning a closure.