Closure methods for laparotomy incisions for preventing incisional hernias and other wound complications

The Cochrane Database of Systematic Reviews
Sunil V PatelScott R Steele

Abstract

Surgeons who perform laparotomy have a number of decisions to make regarding abdominal closure. Material and size of potential suture types varies widely. In addition, surgeons can choose to close the incision in anatomic layers or mass ('en masse'), as well as using either a continuous or interrupted suturing technique, of which there are different styles of each. There is ongoing debate as to which suturing techniques and suture materials are best for achieving definitive wound closure while minimising the risk of short- and long-term complications. The objectives of this review were to identify the best available suture techniques and suture materials for closure of the fascia following laparotomy incisions, by assessing the following comparisons: absorbable versus non-absorbable sutures; mass versus layered closure; continuous versus interrupted closure techniques; monofilament versus multifilament sutures; and slow absorbable versus fast absorbable sutures. Our objective was not to determine the single best combination of suture material and techniques, but to compare the individual components of abdominal closure. On 8 February 2017 we searched CENTRAL, MEDLINE, Embase, two trials registries, and Science Citation Index. T...Continue Reading

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Citations

Feb 28, 2020·Khirurgiia·V A KubyshkinV V Kakotkin
Sep 23, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J E PerezH Levinson
May 27, 2020·International Journal of Colorectal Disease·Kathrine Kelly-SchuetteJames Ogilvie
Aug 11, 2018·Techniques in Coloproctology·M M J van Rooijen, J F Lange
Jul 22, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K C MontelioneM J Rosen
Aug 4, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Abdul Rahman Al SadairiYohann Renard

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