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The Best Closure Technique Without Mesh in Elective Midline Laparotomy Closure.


ABSTRACT: Introduction: The risk of developing an incisional hernia after primary elective median laparotomy is reported in the literature as being between 5 and 20 percent. The basic of an optimal outcome after midline incision is the appropriate closure technique with or without a prophylactic mesh. The objective of this paper is to critically examine the various closure techniques and, in particular, to present a detailed comparison of the long stitch and short stitch techniques. Method: Based on the available literature, the characteristics of the different closure techniques are described in detail, advantages and disadvantages are compared, and the current status of a practicable recommendation is discussed. Special attention is paid to the criteria of the short stitch technique,

SUBMITTER: Fortelny RH 

PROVIDER: S-EPMC10831662 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature