Abdominal midline wound closure with small bites versus large bites: a randomized comparative trial

Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial.

BACKGROUND Incisional hernia is a frequent complication of midline laparotomy and is associated with high morbidity, decreased quality of life, and high costs. We aimed to compare the large bites suture technique with the small bites technique for fascial closure of midline laparotomy incisions. METHODS We did this prospective, multicentre, double-blind, randomised controlled trial at surgica...

Small bites versus large bites for closure of abdominal midline incisions: results of a double blinded multicenter randomized trial (STITCH-trial)

Abdominal incision closure: small but important bites.

www.thelancet.com Published online July 16, 2015 http://dx.doi.org/10.1016/S0140-6736(15)60687-0 1 In The Lancet, Eva Deerenberg and colleagues’ prospective, multicentre, double-blind, randomised controlled STITCH trial shows that the rate of incisional hernia is lower with small tissue bites than with large bites. This fi nding contradicts what surgeons have thought and been taught for many de...

Closure of Midline Abdominal Incisions with Small Stitches Studies on Wound Complications and Health Economy

ii Sammanfattning (Summary in Swedish) iv List of publications vii List of abbreviations viii

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 Surgical department. PATIENTS Patients operated on through a midline incision. INTERVENT...