The Surgical clinics of North America
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Surg. Clin. North Am. · Oct 2013
ReviewPrevention of incisional hernias: how to close a midline incision.
The 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. ⋯ Excessive tension should not be placed on the suture. Closure must always be with a suture length to wound length ratio higher than 4.
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Laparoscopic ventral hernia repair (LVHR) has established itself as a well-accepted option in the treatment of hernias. Clear benefits have been established regarding the superiority of LVHR in terms of fewer wound infections compared with open repairs. Meticulous technique and appropriate patient selection are critical to obtain the reported results.