Page 39 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials
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unanswered question under which conditions an optimal SL:WL ratio of 4 should be reachable. With low traction on the suture fewer stitches are needed, but the slacking e ect during the postoperative period will in uence the results. For this reason in a RCT on suture techniques it is necessary to standardize the amount of stitches per centimetre of wound length.
Conclusion
The STITCH trial is a multicenter randomized trial (trialregister: http://clinicaltrials. gov/ct2/show/NCT01132209) comparing the costs and e ectiveness of a standardized small tissue bites suture technique with a standardized large tissue bites technique in midline incisions. This trial will provide the surgical society the evidence needed to optimize a surgical technique used to prevent common surgical complications.
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STITCH protocol
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