Reduced Fascial Dehiscence with Combined Small-and-Large Technique Compared to Small-Bite Technique in Emergency Midline Laparotomy: A Retrospective Study.

ABSTRACT:

Purpose

This study aimed to compare the rates of fascial dehiscence after fascial closure using the combined small-and-large technique versus the small-bite technique following emergency laparotomy.

Methods

A retrospective, single-center, observational study was conducted. All patients who underwent emergency midline laparotomy at the University Hospital Frankfurt in from 2022 till 2024 with either small-bite technique were included or combined small-and-large technique, which involves periodic internal reinforcement sutures. Propensity score matching was performed based on preoperative predictors of fascial dehiscence. The rate of fascial dehiscence was compared between the matched groups.

Results

A total of 294 patients were included. The combined small-and-large te

SUBMITTER: Koca F 

PROVIDER: S-EPMC12819546 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature