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Related Experiment Videos

Fascial closure: is there a standard practice?

Stephen D Rosenman1

  • 1Bridgeport Hospital/Yale New Haven Health, Bridgeport, USA. psrose@bpthosp.org

Connecticut Medicine
|March 23, 2005
PubMed
Summary

This literature review found numerous suture types and closure techniques reliable for fascial closure. No single method was definitively superior for optimal wound healing.

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Area of Science:

  • Surgical techniques
  • Wound healing research

Background:

  • Fascial closure is a critical step in surgical procedures.
  • Selecting appropriate suture materials and techniques impacts wound healing and complication rates.

Purpose of the Study:

  • To review the literature on suture types and best practices for fascial closure.
  • To identify reliable methods for securing fascia based on existing research.

Main Methods:

  • A Medline literature search was conducted using keywords: "fascial closure," "fascia," and "wound healing."
  • Studies comparing suture types and closure techniques were reviewed and critiqued.
  • Non-prospective or extraneous articles were excluded; research studies were selected non-biasedly.

Main Results:

  • Numerous suture types were identified as reliable for fascial closure.
  • Various closure modalities were found to be effective.
  • No definitive conclusion could be drawn favoring one specific mode of closure over others.

Conclusions:

  • Multiple suture types and closure techniques are effective for fascial closure.
  • Further research may be needed to establish definitive best practices.
  • Current evidence suggests flexibility in choosing closure methods based on clinical judgment.

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