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Effects of the short stitch technique for midline abdominal closure on incisional hernia (ESTOIH): randomized clinical trial.

Fortelny RH, Adrade D, Schirren M, Baumann P, Riedl S, Reisensohn C et al.

Br J Surg 2022; 109: 839–845.

This study included 425 patients who had a midline laparotomy. After one year, the rate of ultrasound-detected incisional hernia was lower after short stitch (5 to 8mm bites every 5mm) than long stitch repair (10mm bites every 10mm): 3.3 versus 6.4 per cent, P=0.173.

Comment: The risk of incisional hernia was low with both methods.

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