Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[New developments in abdominal wall closure].

M A Carlson1

  • 1Department of Surgery (112), University of Nebraska Medical Center, Omaha, USA. macarlso@unmc.edu

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 15, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Incidence, etiology, management, and outcomes of flank hernia: review of published data.

Hernia : the journal of hernias and abdominal wall surgery·2018
Same author

Alarm substances of the stingless bee,Trigona silvestriana.

Journal of chemical ecology·2013
Same author

Enterocutaneous fistula associated with ePTFE mesh: case report and review of the literature.

Hernia : the journal of hernias and abdominal wall surgery·2008
Same author

Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases.

Hernia : the journal of hernias and abdominal wall surgery·2007
Same author

Technique for the insertion of large mesh during minimally invasive incisional herniorrhaphy.

Surgical endoscopy·2007
Same author

Prosthetic closure of the esophageal hiatus in large hiatal hernia repair and laparoscopic antireflux surgery.

Surgical endoscopy·2006
Same journal

[S3 Guideline "Adult soft tissue sarcomas"].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Synopsis-S3 guidelines pancreatic cancer].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Laparoscopic sentinel node navigation surgery in gastric cancer to reduce surgical radicality].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Future concepts for neoadjuvant and adjuvant treatment of (resectable) pancreatic cancer].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[ASCO guidelines for the treatment of stage III NSCLC part 4: indications for adjuvant therapy].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Surgical treatment of pancreatic cancer-What is new?]

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
See all related articles

For optimal abdominal wall closure, surgeons should use a 4-5:1 suture length to wound length ratio for midline incisions to prevent dehiscence and hernia. Suture material choice is less critical than technique for preventing wound failure.

Area of Science:

  • Surgical Techniques
  • Abdominal Surgery
  • Wound Healing

Background:

  • Abdominal wall closure is a critical surgical step.
  • Incisional hernias and wound dehiscence are common complications.
  • Evidence-based recommendations for optimal closure techniques are evolving.

Purpose of the Study:

  • To review current English-language literature on abdominal wall closure techniques.
  • To provide recommendations for preventing surgical site complications.
  • To highlight key factors in successful abdominal wall closure.

Main Methods:

  • Literature review of abdominal wall closure techniques.
  • Analysis of suture techniques, materials, and mesh placement.
  • Discussion of temporary abdominal closure methods.

Related Experiment Videos

Main Results:

  • A suture length to wound length ratio of 4-5:1 is recommended for primary midline closure to minimize dehiscence and hernia risk.
  • Suture material selection appears less critical for preventing wound failure compared to technique.
  • Mesh placement technique is crucial for preventing recurrence in incisional herniography.
  • Various temporary abdominal closure techniques exist for complex cases.

Conclusions:

  • Optimizing the suture length to wound length ratio is paramount for preventing abdominal wall complications.
  • Surgical technique, particularly in mesh placement for hernia repair, significantly impacts outcomes.
  • Effective management of difficult closures relies on appropriate temporary techniques.