Fascial closure: is there a standard practice?

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.