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Surg. Clin. North Am. · Oct 2013
ReviewPrevention of incisional hernias: how to close a midline incision.
- Leif A Israelsson and Daniel Millbourn.
- Department of Surgery and Perioperative Science, Umeå University, SE-901 87 Umeå, Sweden; Department of Surgery, Sundsvall Hospital, SE-851 86 Sundsvall, Sweden. Electronic address: leif.israelsson@lvn.se.
- Surg. Clin. North Am. 2013 Oct 1; 93 (5): 1027-40.
AbstractThe development of wound complications is closely related to the surgical technique at wound closure. The risk of the suture technique affecting the development of wound dehiscence and incisional hernia can be monitored through the suture length to wound length ratio. Midline incisions should be closed in one layer by a continuous-suture technique using a monofilament suture material tied with self-locking knots. Excessive tension should not be placed on the suture. Closure must always be with a suture length to wound length ratio higher than 4. Copyright © 2013 Elsevier Inc. All rights reserved.
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