Fascial closure: is there a standard practice?

A review of the literature was performed with respect to suture type and best practice in securing fascial closure. A Medline search of the literature under "fascial closure," "fascia," and "wound healing" was performed. Studies comparing the types of sutures and the different techniques were reviewed. A critique of meta-analysis studies was performed. Those articles not prospective in nature or including extraneous topics were eliminated. Research studies were selected on a nonbiased basis, comparing suture type and techniques for closure of fascia. Results were based on review of the literature. No valid conclusion could be drawn pertaining to mode of closure. Numerous suture types as well as different modalities of closure were found reliable.