Document Detail

Closing midline abdominal incisions.
MedLine Citation:
PMID:  23143146     Owner:  NLM     Status:  Publisher    
BACKGROUND: The most important wound complications are surgical site infection, wound dehiscence and incisional hernia. Experimental and clinical evidences support that the development of wound complications is closely related to the surgical technique at wound closure. RESULTS: The suture technique monitored through the suture length-to-wound length ratio is of major importance for the development of wound complications. The risk of wound dehiscence is low with a high ratio. The ratio must be higher than 4; otherwise, the risk of developing an incisional hernia is increased four times. With a ratio higher than 4, both the rate of wound infection and incisional hernia are significantly lower if closure is done with small stitches placed 5 to 8 mm from the wound edge than with larger stitches placed more than 10 mm from the wound edge. CONCLUSIONS: Midline incisions should be closed in one layer by a continuous suture technique. A monofilament suture material should be used and be tied with self-locking knots. Excessive tension should not be placed on the suture. Wounds must always be closed with a suture length-to-wound length ratio higher than 4. The only way to ascertain this is to measure, calculate and document the ratio at every wound closure. A high ratio should be accomplished with many small stitches placed 5 to 8 mm from the wound edge at very short intervals.
Leif A Israelsson; Daniel Millbourn
Related Documents :
15988656 - Alternative management of the aging jawline and neck.
15655176 - Barbed polypropylene sutures for midface elevation: early results.
23708726 - Barriers to the uptake of laparoscopic surgery in a lower-middle-income country.
25265886 - Effects of laparoscopic versus minilaparotomic myomectomy on uterine leiomyoma: a meta-...
23929426 - Amyloidosis and spontaneous hepatic bleeding, transcatheter therapy for hepatic parench...
22682386 - Advances in surgery for abdominal wall defects: gastroschisis and omphalocele.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-11
Journal Detail:
Title:  Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie     Volume:  -     ISSN:  1435-2451     ISO Abbreviation:  Langenbecks Arch Surg     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808285     Medline TA:  Langenbecks Arch Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Surgery and Perioperative Science, Umeå University, Umeå, Sweden,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Clinical significance of and future perspectives for hepatic arterial infusion chemotherapy in patie...
Next Document:  Resection strategies for neuroendocrine pancreatic neoplasms.