How do you close an abdominal wound?

Conclusions: Midline incisions should be closed in one layer by a continuous suture technique. A monofilament suture material should be used and be tied with self-locking knots. Excessive tension should not be placed on the suture. Wounds must always be closed with a suture length-to-wound length ratio higher than 4.

What is abdominal wall closure?

INTRODUCTION. The ideal abdominal wound closure provides strength and a barrier to infection. In addition, the closure should be efficient, performed without tension or ischemia, comfortable for the patient, and aesthetic. Closure of abdominal incisions will be reviewed here.

What suture is used to close the abdomen?

Monofilament sutures can be considered for abdominal closure to reduce the risk of incisional hernia. Absorbable sutures can be considered to reduce the risk of chronic drainage from the wound.

What is the proper technique for primary laparotomy closure?

Appropriate midline closure can decrease postoperative incisional hernia rates. Using a small stitch technique with a suture length to wound length ratio of 4:1 is most effective. Self-locking knots maximize suture strength. The benefit to the routine use of prophylactic mesh is still undetermined.

What is mass closure technique?

Mass closure is continuous fascial closure with a single suture. This method allows even distribution of tension across the entire length of the suture, resulting in minimization of tissue strangulation. The goal is approximation of tissue edges to allow scar formation.

What type of suture is used to close the peritoneum?

Closure of the parietal peritoneum is usually performed using absorbable (dissolved by body fluids) or delayed absorbable sutures, and can be done with interrupted or continuous sutures.

What is Smead Jones closure?

(A) Smead-Jones closure. Far-far-near-near. Suture passes laterally through rectus sheath and peritoneum and adjacent fat. The suture crosses midline to pick up medial edge of fascia on opposite side of incision.

What is kochers incision?

The Kocher incision is a subcostal incision on the right side of the abdomen used for open exposure of the gallbladder and biliary tree. This incision is just inferior and parallel to the subcostal margin. Unlike the midline incision, it is not an avascular plane.

What is Rutherford Morrison incision?

Rutherford Morison Incision 1). It can be made as a primary incision to provide good access to the right or left colon, retroperitoneum, major vessels (aorta, inferior vena cava and common iliac vessels) and bladder for renal transplantation, colonic resection, caecostomy or sigmoid colostomy.