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Abdominal Midline Incision Closure

Abdominal Midline Incision Closure Abstract To the Editor.—Having had an interest in midline incisions of the abdomen for many years, I read with some alarm the article in the December 1985 issue of the Archives entitled "Abdominal Midline Incision Closure."1 It was my impression that it has been known for many years that these simple interrupted sutures in closure of midline incisions lend themselves to an unacceptably high risk of postoperative ventral hernias. For this reason, it was recommended many years ago that interrupted figure-of-eight mattress sutures be used as a means of closure. In my experience, this has eliminated the complication of postoperative ventral hernias. While the use of a continuous suture may be the closure method of choice in critically ill patients requiring the shortest possible operating time, these patients most certainly have a higher incidence of postoperative wound separation or hernia. In clean wounds, I cannot see any advantage of References 1. Fagniez P-L, Hay JM, Lacaine F, et al: Abdominal midline incision closure: A multicentric randomized prospective trial of 3135 patients, comparing continuous vs interrupted polyglycolic acid sutures . Arch Surg 1985;120: 1351-1353.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Abdominal Midline Incision Closure

Archives of Surgery , Volume 122 (1) – Jan 1, 1987

Abdominal Midline Incision Closure

Abstract

Abstract To the Editor.—Having had an interest in midline incisions of the abdomen for many years, I read with some alarm the article in the December 1985 issue of the Archives entitled "Abdominal Midline Incision Closure."1 It was my impression that it has been known for many years that these simple interrupted sutures in closure of midline incisions lend themselves to an unacceptably high risk of postoperative ventral hernias. For this reason, it was recommended many years...
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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1987.01400130126026
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—Having had an interest in midline incisions of the abdomen for many years, I read with some alarm the article in the December 1985 issue of the Archives entitled "Abdominal Midline Incision Closure."1 It was my impression that it has been known for many years that these simple interrupted sutures in closure of midline incisions lend themselves to an unacceptably high risk of postoperative ventral hernias. For this reason, it was recommended many years ago that interrupted figure-of-eight mattress sutures be used as a means of closure. In my experience, this has eliminated the complication of postoperative ventral hernias. While the use of a continuous suture may be the closure method of choice in critically ill patients requiring the shortest possible operating time, these patients most certainly have a higher incidence of postoperative wound separation or hernia. In clean wounds, I cannot see any advantage of References 1. Fagniez P-L, Hay JM, Lacaine F, et al: Abdominal midline incision closure: A multicentric randomized prospective trial of 3135 patients, comparing continuous vs interrupted polyglycolic acid sutures . Arch Surg 1985;120: 1351-1353.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1987

References