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Related Experiment Video

Updated: Jun 13, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Elective midline laparotomy closure: the INLINE systematic review and meta-analysis.

Markus K Diener1, Sabine Voss, Katrin Jensen

  • 1Department of General, Visceral and Transplantation Surgery, Study Centre of the German Surgical Society, and Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.

Annals of Surgery
|April 17, 2010
PubMed
Summary

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For elective midline laparotomy, continuous suture techniques and slowly absorbable materials significantly reduce hernia rates. Further research is needed to determine optimal closure strategies for emergency abdominal fascia closure.

Area of Science:

  • Surgical innovation
  • Abdominal surgery
  • Evidence-based medicine

Background:

  • Abdominal fascia closure after midline laparotomy is crucial for preventing incisional hernias.
  • Optimal suture techniques and materials remain debated, particularly differentiating between elective and emergency procedures.

Purpose of the Study:

  • To evaluate the optimal technique and material for abdominal fascia closure after midline laparotomy.
  • To define the best approach for specific patient populations and surgical contexts.

Main Methods:

  • Systematic literature review and meta-analysis of randomized controlled trials.
  • Comparison of continuous versus interrupted suture techniques and rapidly, slowly, or nonabsorbable suture materials.
  • Random effects meta-analyses calculated for odds ratios and 95% confidence intervals.

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Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

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Related Experiment Videos

Last Updated: Jun 13, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Main Results:

  • Continuous suture technique significantly lowers hernia rates (OR: 0.59) compared to interrupted.
  • Slowly absorbable suture material also reduces hernia rates (OR: 0.65) in the elective setting.
  • Results for emergency laparotomy were inconclusive and heterogeneous; no studies focused solely on this setting.

Conclusions:

  • No further trials are needed for elective midline abdominal fascial closure technique and material evaluation.
  • Future research should focus on optimal closure strategies for emergency laparotomy and novel materials or prophylactic mesh use.