Figure-of-eights vs running suture for fascial closure of large ventral hernias: do figure-of-eights induce ischemia? - Report - MDSpire

Figure-of-eights vs running suture for fascial closure of large ventral hernias: do figure-of-eights induce ischemia?

  • By

  • William C. Bennett

  • Alvaro C. Carvalho

  • Emerson Lora

  • Erika M. Schmidt

  • Noah X. Tocci

  • Ashley M. Mila-Hoff

  • Joseph Edwards

  • Cassandra Hennessy

  • Luciano G. Tastaldi

  • Lucas R. Beffa

  • David M. Krpata

  • Ajita S. Prabhu

  • Clayton C. Petro

  • Benjamin T. Miller

  • June 30, 2026

  • 0 min

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Comparison of Figure-of-Eight and Running Sutures for Fascial Closure

Overview

This study evaluates the outcomes of figure-of-eight versus running sutures in large ventral hernia repairs.

Background

The choice of suture technique for fascial closure in hernia repair is often based on surgeon preference due to limited comparative data. Concerns regarding the ischemic effects of figure-of-eight sutures have been raised, particularly in relation to wound healing, but the literature does not strongly support these concerns.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Figure-of-eight sutures are commonly used for larger defects in hernia repair.
  • Continuous running sutures have been traditionally favored based on primary laparotomy literature.
  • Updated guidelines have downgraded the recommendation for continuous sutures in primary laparotomy closure.
  • Interrupted figure-of-eight sutures may improve odds of successful primary fascial closure for defects ≥ 15 cm.
  • Concerns about ischemia from figure-of-eight sutures are not well-supported by literature.

Clinical Implications

The choice of suture technique for large ventral hernia repairs may be influenced by individual surgeon experience and patient-specific factors.

Conclusion

The study addresses common concerns about ischemia related to figure-of-eight sutures.

Related Resources & Content

  1. Hernia, 2026 -- Slowly absorbable suture for fascial defect closure in open incisional hernia mesh-repair is associated with decreased long-term recurrence
  2. Hernia, 2025 -- Innovative Robotic-Assisted Approach for Flank Hernia Repair Utilizing Progressive Intracorporeal Fascial Traction (PIFT) for Enhanced Fascial Closure
  3. Hernia, 2026 -- Favorable one-year outcomes despite residual fascial tension after ventral hernia repair with transversus abdominis release
  4. Midline incisional hernia guidelines: the European Hernia Society - EHS, 2023
  5. conexiant — Small-Bite Closure Reduces Long-Term Hernia Risk
  6. Interrupted versus continuous fascial closure after emergency midline laparotomy: a systematic review and meta-analysis of randomized controlled trials
  7. Don't fear the (small) bite: A narrative review of the rationale and misconceptions surrounding closure of abdominal wall incisions
  8. Midline incisional hernia guidelines: the European Hernia Society - EHS

Original Source(s)

Figure-of-eights vs running suture for fascial closure of large ventral hernias: do figure-of-eights induce ischemia?

  • by William C. Bennett, Alvaro C. Carvalho, Emerson Lora, Erika M. Schmidt, Noah X. Tocci, Ashley M. Mila-Hoff, Joseph Edwards, Cassandra Hennessy, Luciano G. Tastaldi, Lucas R. Beffa, David M. Krpata, Ajita S. Prabhu, Clayton C. Petro, Benjamin T. Miller

  • June 30, 2026

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