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Review
. 2013 Oct;93(5):1027-40.
doi: 10.1016/j.suc.2013.06.009.

Prevention of incisional hernias: how to close a midline incision

Leif A Israelsson  1 , Daniel Millbourn
Affiliations
Review

Prevention of incisional hernias: how to close a midline incision

Leif A Israelsson et al. Surg Clin North Am. 2013 Oct.

Abstract

The development of wound complications is closely related to the surgical technique at wound closure. The risk of the suture technique affecting the development of wound dehiscence and incisional hernia can be monitored through the suture length to wound length ratio. Midline incisions should be closed in one layer by a continuous-suture technique using a monofilament suture material tied with self-locking knots. Excessive tension should not be placed on the suture. Closure must always be with a suture length to wound length ratio higher than 4.

Keywords: Hernia; Postoperative complications; Surgical wound dehiscence; Surgical wound infection; Wound closure techniques.

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MeSH terms