Reinforced tension-line suture after laparotomy: early results of the Rein4CeTo1 randomized clinical trial.

ABSTRACT:

Background

The aim was to investigate whether adding a reinforced tension-line (RTL) suture to a standard 4 : 1 small-bite closure would reduce the incidence of incisional hernia after colorectal cancer surgery.

Methods

Patients aged at least 18 years, who were scheduled for elective colorectal cancer surgery through a midline incision at two Swedish hospitals (2017-2021), were randomized in a 1 : 1 ratio to either fascial closure with RTL and 4 : 1 small-bite closure with polypropylene sutures (RTL group) or 4 : 1 small-bite closure with polydioxanone suture alone (PDS group). The primary outcome was CT-detected incisional hernia 1 year after surgery. CT interpreters were blinded regarding treatment group.

Results

In all, 160 patients were randomized, 80 in each grou

SUBMITTER: Wenzelberg CL 

PROVIDER: S-EPMC11523493 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature