The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Sukovatykh B.S.

Kursk State Medical University

Pashkov V.M.

Kursk State Medical University

Valuyskaya N.M.

Kursk State Medical University

Mutova T.V.

Kursk State Medical University

Mosolova A.V.

Kursk State Medical University

Modern approaches to median laparotomy closure in emergency abdominal surgery

Authors:

Sukovatykh B.S., Pashkov V.M., Valuyskaya N.M., Mutova T.V., Mosolova A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11): 109‑114

Read: 632 times


To cite this article:

Sukovatykh BS, Pashkov VM, Valuyskaya NM, Mutova TV, Mosolova AV. Modern approaches to median laparotomy closure in emergency abdominal surgery. Pirogov Russian Journal of Surgery. 2025;(11):109‑114. (In Russ.)
https://doi.org/10.17116/hirurgia2025111109

Recommended articles:
Epidemiology and prevention of prostate cancer. Russian Journal of Preventive Medi­cine. 2025;(7):111-118
Cere­bral venous thro­mbosis in clinical practice. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):11-19
Sex and age characteristics of stroke risk factors in patients with type 2 diabetes mellitus. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):89-97
Features of professional adaptation of doctors begi­nning their work acti­vities. Russian Journal of Preventive Medi­cine. 2025;(9):112-118
Predictors of adve­rse outcomes after severe traumatic brain injury. Burdenko's Journal of Neurosurgery. 2025;(5):71-78
Redo asce­nding aortic surgery: outcomes and risk factors of complications. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(5):511-519

References:

  1. Zatevakhin II, Kiriyenko AI, Kubyshkin AA, Abdominal surgery. National leadership. M.: GEOTAR-Media; 2016. (In Russ.).
  2. Holihan JL, Alawadi Z, Martindale RG, Roth JS, Ray KJ, Ko TS, Kao LS, Liang MK. Adverse effects after ventral hernia repair: a vicious circle of complications. J Am Coll Surg. 2015;221(2):478-485. (In Russ.). https://doi.org/10.1016/j.jamcollsurg.2015.04.026
  3. Sukovatykh BS, Valuyskaya NM, Pravodnikova NV, Gerasimchuk EV, Mutova TV. Prevention of postoperative ventral hernias: the current state of the problem. Pirogov Russian Journal of Surgery. 2016;3:76-80. (In Russ.). https://doi.org/10.17116/hirurgia2016376-80
  4. Lazarenko VA, Ivanov SV, Ivanov IS, Tsukanov AV, Goryainova GM, Obedkov EG. Determination of indications for preventive endoprosthetics based on markers of connective tissue dysplasia in patients with postoperative ventral hernias. Pirogov Russian Journal of Surgery. 2019;8:12-16. (In Russ.). https://doi.org/10.17116/hirurgia201908112
  5. https://doi.org/10.17116/profmed202023062151  https://doi.org/10.17116/profmed202023062151
  6. Lazarenko VA, Ivanov SV, Ivanov IS, Rozberg EP, Tsukanov AV, Popova LP, Tarabrin DV, Obedkov EG. The ratio of collagen types in the prognosis of postoperative ventral hernias. Pirogov Russian Journal of Surgery. 2017;6:33-36. (In Russ.). https://doi.org/10.17116/hirurgia2017633-36
  7. Goodenough CJ, Ko TK, Kao LS, Nguyen MT, Holihan JL, Alawadi Z, Nguyen DH, Flores JR Arita NT, Roth JS, Liang MK. Development and validation of the risk stratification scale for ventral postoperative hernia after abdominal operations: indicators of the likelihood of hernia in intra-abdominal surgery (project “HERNIA”). J Am Coll Surg. 2015;220(4):405-413.  https://doi.org/10.1016/j.jamcollsurg.2014.12.027
  8. Bosanquet DK, Ansell J, Abdelrahman T, Cornish J, Harris R, Stimpson A, Davis L, Glasby JK, Frever KA, Frever NK, Russell D, Russell I, Torkington J. A systematic review and meta-regression of factors affecting the incidence of median postoperative hernias: an analysis of 14,618 patients. PLoS One. 2015;10(9):e0138745. https://doi.org/10.1371/journal.pone.0138745
  9. Tashkinov NV, Kulikova NA, Kogut BM, Belmach VP, Panenkov AI. Identification of patients with an extremely high degree of development of postoperative ventral hernias during median laparotomy. Far Eastern Medical Journal. 2014;1:38-45. 
  10. https://doi.org/10.25694/URMJ 2019.05 41  FedoseevAV,InyutinAS,MuravyevSYu,LebedevSN,RustamovVI.Preventionofpostoperativeventralherniasbychoosingamethodofsuturingalaparotomywoundtakingintoaccountitstension.UralMedicalJournal.2019;173(5-6):84-87.
  11. Muisoms FE, Antoniou SA, Beri K, Campanelli G, Konze J, Cuccurullo D, de Bo AK, Direnberg EB, East B, Fortelni RH, Gillion JF, Henriksen NA, Israelsson L, Jairam A, Janes A, Jikel J, Lopez-Cano M, Miseres M, Morales-Conde S, Sanders DL, Simons MP, Schmitansky M, Wenclauskas L, Berrevoet F, European Hernia Society. Recommendations of the European Society of Herniators on closing incisions on the abdominal wall. Hernia. 2015;19(1):1-24.  https://doi.org/10.1007/s10029-014-1342-5
  12. van Rooyen MMJ, Lange JF. Prevention of postoperative hernia: closure of median laparotomy. Tech Coloproctol. 2018;22(8):623-627.  https://doi.org/10.1007/s10151-018-1833-y
  13. Peponis T, Bonen JD, Muse S, Fuentes E, van der Wilden GM, Majaddam A, Alam H, Kaafarani HMA, Fagenholz PJ, King DR, Ye DD, Velmahos GK, de Moya MA. Intermittent or continuous fascia suturing in patients, those who underwent emergency laparotomy: a randomized controlled trial. J Trauma Acute Care Surg. 2018;85(3):459-465.  https://doi.org/10.1097/TA.0000000000001970
  14. Israelsson LA, Millborn D. Closure of median abdominal incisions. Langenbecks Arch Surg. 2012;397(8):1201-1207. https://doi.org/10.1007/s00423-012-1019-4
  15. Nikolaisen KV, Eldrup N. Abdominal suturing and the risk of postoperative hernia formation during aneurysm surgery — a systematic review and meta-analysis. Eur J Vasc Endovasc Surg. 2020;59(2):227-236.  https://doi.org/10.1016/j.ejvs.2019.07.041
  16. Milborn D, Cengiz U, Israelsson LA. The effect of suture length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg. 2009;144(11):1056-1059. https://doi.org/10.1001/archsurg.2009.189
  17. Direnberg EB, Henriksen NA, António GA, António SA, Bramer UM, Fischer JP, Fortelní RH, Huck H, Harris HV, Hope W, Horn KM, Jensen TK, Kekerling F, Kretschmer A, Lopez-Cano M, Malcher F, Shao JM, Sliker JK, de Smet GHJ, Stablini K, Torkington J, Musoms FE. Updated guidelines for closing abdominal wall incisions from the European and American Hernia Treatment Societies. Br J Surg. 2022;109(12):1239-1250. https://doi.org/10.1093/bjs/znac302
  18. Direnberg EB, Harlaar JJ, Steyerberg EV, Long HE, van Doorn HK, Heisterkamp J, Weinhoven BP, Schouten RR, Tsense HA, Stockmann HB, Behrends FJ, Deikhuizen FP, Dwarkasing RS, Jairam AP, van Ramshorst GH, Kleinrensink GJ, Jikel J, Lange JF. Small bites versus large bites when closing incisions along the midline of the abdomen (STITCH): a double-blind, multicenter, randomized controlled trial. Lancet. 2015;386(10000):1254-1260. https://doi.org/10.1016/S0140-6736(15)60459-7
  19. Albertsmeier M, Hofmann A, Baumann P, Riedl S, Reisensohn C, Kewer JL, Hoelderle J, Shamiyeh A, Klugsberger B, Maier TD, Schumacher G, Köckerling F, Pession U, Weniger M, Fortelny RH. Effects of the method of short stitching along the midline of the abdominal cavity: short-term results of a randomized controlled trial of ESTOIH. Hernia. 2022;26(1):87-95.  https://doi.org/10.1007/s10029-021-02410-y
  20. Naz S, Memon SA, Jamali MA, Ahmed MR, Almani T. Polydioxanone in comparison with polypropylene when closing median abdominal incisions. J Ayub Med Coll Abbottabad. 2017;29(4):591-594. 
  21. Justinger K, Slotta JE, Schilling MK. Postoperative hernia after suturing the abdominal cavity using slowly absorbable and rapidly absorbable sutures with antibacterial coating. Surgery. 2012;151(3):398-403.  https://doi.org/10.1016/j.surg.2011.08.004
  22. Blumen A, van Dooren P, Huizinga BF, Hofwijk AM. A randomized clinical trial comparing polypropylene or polydioxanone to close the midline of the abdominal wall. Br J Surg. 2011;98(5):633-639.  https://doi.org/10.1002/bjs.7398
  23. Olmez T, Berkeshoglu M, Turkmenoglu O, Kolak T. The effect of triclosan-coated suture material on infection in the area of surgical intervention during closure of the abdominal fascia. Surg Infect. 2019;20(8):658-664.  https://doi.org/10.1089/sur.2019.052
  24. Sukovatykh BS, Mosolova AV, Zatolokina MA.Experimental and clinical substantiation of the use of a seam material impregnated with miramestin in conditions of widespread peritonitis. Bulletin of Experimental and Clinical Surgery. 2021;14(4):252-259.  https://doi.org/10.18499/2070-478X-2021-14-4-252-259
  25. Fedoseev AV, Inyutin AS.0 Zhanygulov AD, Muravyev SYu, Vinogradov II. Comparative analysis of methods of suturing a laporator wound. Surgery. Pirogov Russian Journal of Surgery. 2017;6:37-40.  https://doi.org/10.17116/hirurgia2017637-40
  26. Zhanygulov AD, Inyutin AS, Muravyev SYu. Physical features of the white line of the abdomen from the position of a herniaologist. Endoscopic Surgery. 2018;24(1):34-37.  https://doi.org/10.17116/endoskop201824134-37
  27. Inyutin AS, Fedoseev AV, Muravyev SYu, Zatsarinny VV. Application of the method of suturing aponeurosis after laparotomy in urgent surgery. Infections in Surgery. 2018;18(1-2):27-28. 
  28. Le Ruyet A, Yurtkap Y, den Hartog FPJ, Vegleur A, Turquier F, Lange JF, Kleinrensink JJ. Differences in the biomechanics of abdominal wall closure with and without mesh: a study on postmortem human specimens. J Mechanics Biomed. 2020;105:103683. https://doi.org/10.1016/j.jmbbm.2020.103683
  29. Borab ZM, Shakir S, Lanni MA, Tecce MG, MacDonald J, Hope WW, Fischer JP. Does the preventive use of mesh during planned median laparotomy reduce the incidence of postoperative hernias? A systematic review and meta-analysis. Surgery. 2017;161(4):1149-1163. https://doi.org/10.1016/j.surg.2016.09.036
  30. Lozada Hernández EE, Maldonado Barrios IL, Amador Ramírez S, Rodríguez Casillas JL, Hinojosa Ugarte D, Smolinski Kurek RL, Crocco Quirós B, Cethorth Fonseca RK, Sánchez Téran A, Macias Grageda M. The occurrence of postoperative complications after the preventive use of mesh to prevent postoperative hernias during midline laparotomy: a systematic review and meta-analysis of randomized clinical trials. Surg Endosc. 2024;38(2):942-956.  https://doi.org/10.1007/s00464-023-10509-9
  31. Heger P, Feißt M, Krisam J, Klose C, Dörr-Harim C, Tenckhoff S, Büchler MW, Diener MK, Mihaljevic AL. Hernia reduction following laparotomy using small stitch abdominal wall closure with and without mesh augmentation (the HULC trial): study protocol for a randomized controlled trial. Trials. 2019;20(1):738.  https://doi.org/10.1186/s13063-019-3921-3
  32. Sukovatykh BS, Blinkov YuYu, Netyaga AA, Eshtokin SA, Frolova OG. A new approach to the treatment of intraabdominal hypertension syndrome in patients with advanced peritonitis. Bulletin of Surgery named after I.I. Grekov. 2010;169(4):31-35. 
  33. Sukovatykh BS, Blinkov YuYu, Valuyskaya NM, Dubonos AA, Shchekina II, Gevorkyan RS. Preventive abdominal wall replacement in emergency patients at risk of eventration. Pirogov Russian Journal of Surgery. 2021;12:81-86.  https://doi.org/10.17116/hirurgia202112181
  34. Fedoseev AV, Rybachkov VV, Trushin SN, Inyutin AS. Invasive abdominal wall replacement in risk groups for postoperative ventral hernia. Pirogov Russian Journal of Surgery. 2019;1:32-36.  https://doi.org/10.17116/hirurgia201901132
  35. Khorgami Z, Shoar S, Lagai B, Aminian A, Hosseini Aragi N, Sorush A. Preventive retention sutures in median laparotomy in patients at high risk of suture divergence: a randomized controlled trial. J Surg Res. 2013;180(2):238-243.  https://doi.org/10.1016/j.jss.2012.05.012
  36. Ito E, Yoshida M, Suzuki N, Imakita T, Tsutsui N, Odaira H, Kitajima M, Suzuki Yu. Preventive retention suture to prevent infection in the surgical area: a retrospective cohort study. J Surg Res. 2018;221:58-63.  https://doi.org/10.1016/j.jss.2017.08.012

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.