In Reply.—Many surgeons state that postoperative ventral hernia is a rarity. Ellis et al1 believe that this is because patients are not examined carefully and are not followed up sufficiently. They add that the ideal method of midline incision closure has not been discovered yet and emphasize the necessity of prospective controlled studies to answer this question.
Our article, which Dr Gray "read with some alarm," reports such a randomized trial, comparing two widely used techniques of abdominal wall closure. Obviously, its results cannot be useful for surgeons who use both techniques and material with no complications.
As far as we are concerned, scientific conclusions seem better than "impression" or "certainty." I would like to thank Dr Gray for giving us the opportunity to recall this option.
FAGNIEZ P. Abdominal Midline Incision Closure-Reply. Arch Surg. 1987;122(1):120. doi:10.1001/archsurg.1987.01400130126027
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