Effect of Stitch Length on Wound Complications After Closure of Midline Incisions: A Randomized Controlled Trial

HYPOTHESIS In midline incisions closed with a single-layer running suture, the rate of wound complications is lower when a suture length to wound length ratio of at least 4 is accomplished with a short stitch length rather than with a long one. DESIGN Prospective randomized controlled trial. SETTING...

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Veröffentlicht in:	Archives of surgery (Chicago. 1960) 2009-11, Vol.144 (11), p.1056-1059
Hauptverfasser:	Millbourn, Daniel, Cengiz, Yucel, Israelsson, Leif A
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Wall - surgery Aged Biological and medical sciences Clinical trials Female Follow-Up Studies General aspects Hernia, Ventral - etiology Hernia, Ventral - surgery Hernias Humans Incisional hernia Infections Laparotomy - adverse effects Laparotomy - methods Male Medical sciences Middle Aged Multivariate Analysis Postoperative complications Probability Prospective Studies Reference Values Risk Assessment Risk factors Surgery Surgical site infection Surgical wound dehiscence Surgical Wound Dehiscence - etiology Surgical Wound Dehiscence - prevention & control Surgical wound infection Surgical Wound Infection - etiology Surgical Wound Infection - prevention & control Suture technique Suture Techniques Sutures Tensile Strength Treatment Outcome Wound healing
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Zusammenfassung:	HYPOTHESIS In midline incisions closed with a single-layer running suture, the rate of wound complications is lower when a suture length to wound length ratio of at least 4 is accomplished with a short stitch length rather than with a long one. DESIGN Prospective randomized controlled trial. SETTING Surgical department. PATIENTS Patients operated on through a midline incision. INTERVENTION Wound closure with a short stitch length (ie, placing stitches
ISSN:	0004-0010 2168-6254 1538-3644 1538-3644 2168-6262
DOI:	10.1001/archsurg.2009.189