[Do we need to relearn abdominal wall closure? : Small stitches]. / Müssen wir den Bauchdeckenverschluss neu erlernen? : Small Stitches.
Chirurg
; 87(9): 744-750, 2016 Sep.
Article
en De
| MEDLINE
| ID: mdl-27495164
ABSTRACT
The 1year incisional hernia rate of 9-30 % has been tolerated for decades. Even in the 1970s and 1980s there was evidence that supported reducing suture tension. Recently, the traditional 41 relationship between suture and wound length, which has been passed on for years, has been questioned. After first experimental and clinical data suggested an advantage by reducing the width and interval of stitches by 50 %, the prospective randomized STITCH study has now provided evidence by significantly lowering the 1year hernia rate from 21 % to 13 %. For surgeons this means less of a revolution and more of an innovative evolution of a long-established technique. Before introduction of the technique quality assurance must be carried out with documentation of performance indicators (e.g. number of stitches, length of thread incorporated and wound length).
Palabras clave
Texto completo:
1
Ejes tematicos:
Pesquisa_clinica
Banco de datos:
MEDLINE
Asunto principal:
Educación Médica Continua
/
Técnicas de Cierre de Herida Abdominal
Tipo de estudio:
Clinical_trials
/
Observational_studies
Límite:
Humans
Idioma:
De
Año:
2016
Tipo del documento:
Article