[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.62.139. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 1987

Abdominal Midline Incision Closure

Author Affiliations

Charleston, WVa

Arch Surg. 1987;122(1):120. doi:10.1001/archsurg.1987.01400130126026
Abstract

To the Editor.—Having had an interest in midline incisions of the abdomen for many years, I read with some alarm the article in the December 1985 issue of the Archives entitled "Abdominal Midline Incision Closure."1

It was my impression that it has been known for many years that these simple interrupted sutures in closure of midline incisions lend themselves to an unacceptably high risk of postoperative ventral hernias. For this reason, it was recommended many years ago that interrupted figure-of-eight mattress sutures be used as a means of closure. In my experience, this has eliminated the complication of postoperative ventral hernias.

While the use of a continuous suture may be the closure method of choice in critically ill patients requiring the shortest possible operating time, these patients most certainly have a higher incidence of postoperative wound separation or hernia.

In clean wounds, I cannot see any advantage of

First Page Preview View Large
First page PDF preview
First page PDF preview
×