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June 2010

Effect of Stitch Length on Complications—Reply

Author Affiliations

Author Affiliations: Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden (Drs Millbourn and Cengiz); and Department of Surgery and Perioperative Sciences, Ume[[aring]] University, Ume[[aring]], Sweden (Dr Israelsson).

Arch Surg. 2010;145(6):600-601. doi:10.1001/archsurg.2010.96

In reply

The surgical dogma of placing stitches at least 10 mm from the wound edge is now challenged in both experimental and clinical studies.1 Our trial shows that in midline incisions closed with a running, single-layer suture, the lowest rate of wound complications is when a suture length to wound length ratio of at least 4 is obtained with small tissue bites incorporating the aponeurosis only.2

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