Prevention of incisional hernias. How to close a midline incision.

  • Wilkins, R. G., & Unverdorben, M. (2013). Wound Cleaning and Wound Healing : A Concise Review, 26(4) 1
  • Wilgus, T. A., Roy, S., & Mcdaniel, J. C. (2013). Neutrophils and Wound Repair : Positive Actions and Negative Reactions, 2(7) 3
  • Nagoba, B. S., Selkar, S. P., Wadher, B. J., & Gandhi, R. C. (2013). Acetic acid treatment of pseudomonal wound infections — A review. Journal of Infection and Public Health, 6(6) 4
 et al. 
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Abstract

The development of wound complications is closely related to the surgical technique at wound closure. The risk of the suture technique affecting the development of wound dehiscence and incisional hernia can be monitored through the suture length to wound length ratio. Midline incisions should be closed in one layer by a continuous-suture technique using a monofilament suture material tied with self-locking knots. Excessive tension should not be placed on the suture. Closure must always be with a suture length to wound length ratio higher than 4. © 2013 Elsevier Inc.

Author-supplied keywords

  • Hernia
  • Postoperative complications
  • Surgical wound dehiscence
  • Surgical wound infection
  • Wound closure techniques

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Authors

  • 160–163. Wilkins, R. G., & Unverdorben, M. (2013). Wound Cleaning and Wound Healing : A Concise Review, 26(4)

  • 379–388. http://doi.org/10.1089/wound.2012.0383 Wilgus, T. A., Roy, S., & Mcdaniel, J. C. (2013). Neutrophils and Wound Repair : Positive Actions and Negative Reactions, 2(7)

  • 410–415. http://doi.org/10.1016/j.jiph.2013.05.005 Nagoba, B. S., Selkar, S. P., Wadher, B. J., & Gandhi, R. C. (2013). Acetic acid treatment of pseudomonal wound infections — A review. Journal of Infection and Public Health, 6(6)

  • G. (2013). Antimicrobial and antiseptic strategies in wound management. http://doi.org/10.1111/iwj.12175 Daeschlein

  • 1133–1146. http://doi.org/10.1016/j.suc.2010.08.003 Goldberg, S. R., & Diegelmann, R. F. (2017). Wo u n d H ea l i n g P ri m er, 90(2010)

  • 1125–1132. http://doi.org/10.1016/j.suc.2010.09.001 Caldwell, M. D. (2017). Wo u n d Su r g e r y. Surgical Clinics of NA, 90(6)

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