Change search
ReferencesLink to record
Permanent link

Direct link
Closure of midline laparotomies by means of small stitches: practical aspects of a new technique
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Show others and affiliations
2013 (English)In: Surgical technology international, ISSN 1090-3941, Vol. 23, no 1, 34-38 p.Article in journal (Refereed) Published
Abstract [en]

Randomized studies support the closure of midline incisions with a suture length to wound length ratio (SL:WL) of more than 4, accomplished with small tissue bites and short stitch intervals to decrease the risk of incisional hernia and wound infection. We investigated practical aspects of this technique possibly hampering the introduction of this technique. Patient data, operative variables and SL:WL ratio were collected at two hospitals: Sundsvall Hospital (SH) and Erasmus University Medical Center (EMC). A structured implementation of the technique had been performed at SH but not at EMC. Personnel were interviewed by questionnaire. At each hospital, 18 closures were analyzed. Closure time was significantly longer (p = 0.023) at SH (median 18 minutes, range: 9-59) than at EMC (median 13 minutes, range: 5-23). An SL:WL ratio of more than 4 was achieved in 8 of 18 cases at EMC and in all 18 cases at SH. We conclude that calculation of an SL:WL ratio is easily performed. Suturing with the small bite-short stitch interval technique of SH required 5 minutes extra, outweighing the morbidity of incisional hernia. Without a structured implementation to suture with an SL:WL ratio of more than 4, a lower ratio is often achieved.

Place, publisher, year, edition, pages
Universal Medical Press, Incorporated , 2013. Vol. 23, no 1, 34-38 p.
National Category
URN: urn:nbn:se:umu:diva-88085PubMedID: 24081841OAI: diva2:713559
Available from: 2014-04-23 Created: 2014-04-23 Last updated: 2015-06-26Bibliographically approved

Open Access in DiVA

No full text


Search in DiVA

By author/editor
Israelsson, Leif A
By organisation

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 915 hits
ReferencesLink to record
Permanent link

Direct link