Fascial closure and long-term hernia formation continues to be a challenging problem across a multitude of surgical specialties. Understanding wound healing and physical construct principles is crucial in suture choice and obtaining a reliable repair. The most recent advances in laparotomy closure have focused on the distribution of forces to limit early suture pull-through and gap formation. Advances in suture design may lead the way in improved patient outcomes.
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Dumanian et al. (2020) studied this question.
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