Reinforced tension-line suture after laparotomy: long-term results of Rein4CeTo1 randomized clinical trial.

ABSTRACT:

Background

Incisional hernia remains the most common complication of open abdominal surgery. The aim was to investigate whether a reinforced tension-line suture combined with standard 4 : 1 small-bite closure reduces the 3-year incidence of computed tomography-detected incisional hernia in open colorectal cancer surgery.

Methods

Patients aged > 18 years, scheduled for colorectal cancer resection through a midline incision between 2017 and 2021 at Skåne University Hospital Malmö and Kristianstad County Hospital, Sweden, were eligible for inclusion. Patients were randomized to fascial closure by reinforced tension-line suture combined with 4 : 1 small-bite closure with polypropylene sutures (RTL group) or 4 : 1 small-bite closure alone with polydioxanone sutures (PDS group), i

SUBMITTER: Wenzelberg CL 

PROVIDER: S-EPMC12781198 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature