Suture Techniques and Materials for Fascial Closure of Abdominal Wall Incisions: A Comprehensive Meta-Analysis.

ABSTRACT:

Background

The aim of this systematic review and meta-analysis was to evaluate the effectiveness of different suture materials and techniques for laparotomy closure.

Methods

A literature search was conducted in 3 databases in April 2024. All randomized controlled trials (RCTs) and prospective cohort studies on laparotomy closure were included. The quality of the studies was evaluated using critical appraisal checklists (ROB2 and ROBINS-I). The primary outcome was incisional hernia (IH) formation, and secondary outcomes were fascial dehiscence (FD), combined FD+IH, and surgical site infection (SSI). Meta-analyses were performed using random effects models.

Results

A total of 41 RCTs and 9 prospective cohort studies were included. Meta-analysis revealed no superiority o

SUBMITTER: van den Berg R 

PROVIDER: S-EPMC11932593 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature