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Abdominal wound closure: current perspectives

Authors Williams Z, Hope W

Received 12 June 2015

Accepted for publication 9 September 2015

Published 4 December 2015 Volume 2015:8 Pages 89—94

DOI https://doi.org/10.2147/OAS.S60958

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Ahmed Kotb

Peer reviewer comments 3

Editor who approved publication: Professor Cataldo Doria

Zachary F Williams, William W Hope

Department of Surgery, South East Area Health Education Center, New Hanover Regional Medical Center, Wilmington, NC, USA

Abstract: This review examines both early and late wound complications following laparotomy closure, with particular emphasis on technical aspects that reduce hernia formation. Abdominal fascial closure is an area of considerable variation within the field of general surgery. The formation of hernias following abdominal wall incisions continues to be a challenging problem. Ventral hernia repairs are among the most common surgeries performed by general surgeons, and despite many technical advances in the field, incisional hernia rates remain high. Much attention and research has been directed to the surgical management of hernias. Less focus has been placed on prevention of hernia formation despite its obvious importance. This review examines the effects of factors such as the type of incision, suture type and size, closure method, patient risk factors, and the use of prophylactic mesh.

Keywords: incisional, abdominal, hernia, prevention, wound closure techniques
 

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