A multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions (STITCH trial, NCT01132209)
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منابع مشابه
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...
متن کاملA multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions
BACKGROUND The median laparotomy is frequently used by abdominal surgeons to gain rapid and wide access to the abdominal cavity with minimal damage to nerves, vascular structures and muscles of the abdominal wall. However, incisional hernia remains the most common complication after median laparotomy, with reported incidences varying between 2-20%. Recent clinical and experimental data showed a...
متن کاملSmall 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...
متن کاملEffect of suture technique on the occurrence of incisional hernia after elective midline abdominal wall closure: study protocol for a randomized controlled trial
BACKGROUND Based on a recent meta-analysis, a continuous suture technique with a suture to wound length ratio of at least 4:1, using a slowly absorbable monofilament suture material, is recommended for primary median laparotomy closure. Incisional hernia, which develops in 9 to 20% of patients, remains the major complication of abdominal wall closure. Current clinical data indicate that the inc...
متن کاملA double blind randomized controlled trial comparing primary suture closure with mesh augmented closure to reduce incisional hernia incidence
BACKGROUND Incisional hernia is the most frequently seen long term complication after laparotomy causing much morbidity and even mortality. The overall incidence remains 11-20%, despite studies attempting to optimize closing techniques. Two patient groups, patients with abdominal aortic aneurysm and obese patients, have a risk for incisional hernia after laparotomy of more than 30%. These patie...
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