Consider the hypothetical case of a middle-aged patient who presents to a general surgery clinic to be evaluated for an incisional hernia. He lives a very active lifestyle and maintains an athlete’s level of fitness but required a laparotomy a few years ago. He presented to the surgical clinic recently to be evaluated for a large incisional hernia that developed in the weeks following his operation. There are no obvious risk factors for him to have developed an incisional hernia as he does not have obesity, is not a smoker, takes no medications, and did not have any wound complications after his operation. Why did this happen? Reviewing the operative reports yields only that his incision was closed in a common fashion using a running 0-looped absorbable suture, a common laparotomy closure.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Yheulon C, Davis SS. Adopting the STITCH Trial: Crossing the Chasm From Publication to Practice. JAMA Surg. Published online September 04, 2019. doi:10.1001/jamasurg.2019.3358
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: