Effects of the short-stitch technique for midline abdominal closure: short-term results from the randomised-controlled ESTOIH trial - Takeaways - MDSpire

Effects of the short-stitch technique for midline abdominal closure: short-term results from the randomised-controlled ESTOIH trial

  • By

  • M. Albertsmeier

  • A. Hofmann

  • P. Baumann

  • S. Riedl

  • C. Reisensohn

  • J. L. Kewer

  • J. Hoelderle

  • A. Shamiyeh

  • B. Klugsberger

  • T. D. Maier

  • G. Schumacher

  • F. Köckerling

  • U. Pession

  • M. Weniger

  • R. H. Fortelny

  • May 28, 2021

  • 0 min

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  • 1

    Incisional hernia occurs in 10–69% of patients after midline abdominal closure, influenced by factors like obesity and infection.

  • 2

    The ESTOIH trial investigates the impact of stitch length on hernia development using a double-blinded, randomized design.

  • 3

    Short-stitch techniques with a suture-to-wound length ratio of ≥ 5:1 are associated with fewer incisional hernias compared to large bites.

  • 4

    The surgical site infection rate was notably high at 21% in both groups of the STITCH trial, raising concerns about technique efficacy.

  • 5

    The trial included adults aged ≥ 18 years undergoing elective median laparotomy, with specific exclusion criteria for high-risk patients.

Original Source(s)

Effects of the short-stitch technique for midline abdominal closure: short-term results from the randomised-controlled ESTOIH trial

  • by M. Albertsmeier, A. Hofmann, P. Baumann, S. Riedl, C. Reisensohn, J. L. Kewer, J. Hoelderle, A. Shamiyeh, B. Klugsberger, T. D. Maier, G. Schumacher, F. Köckerling, U. Pession, M. Weniger, R. H. Fortelny

  • May 28, 2021

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