EVALUATING HOW STITCH LENGTH AFFECTS WOUND COMPLICATIONS FOLLOWING MIDLINE INCISION CLOSURE

Abstract

Background: With a prevalence of 5–15%, incisional hernias continue to be one of the most frequent complications after
median laparotomy. Compared to mass closure or massive bites, the continuous suturing approach with several little soft
tissue bites on only the aponeurosis has been shown to be highly effective in treating incisional hernias in recent literature
data. The length of the suture must be at least four times that of the incision.
Aim: The purpose of this study was to compare the impact of stitch length on surgical site infection and incisional hernia
following closure of the midline incision.
Methods: One hundred participants were randomly assigned to two groups for the study: the large bite group and the
little bite group. The primary goals for both groups were the incidence of wound infection and abdominal rupture until
the day of release, whereas the secondary endpoints were the length of the postoperative hospital stay, the rate of incisional
hernias one year after surgery, and safety factors.