Benjamin T Miller, Ryan C Ellis, R Matthew Walsh, Daniel Joyce, Robert Simon, Nima Almassi, Byron Lee, Robert DeBernardo, Scott Steele, Samuel Haywood, Lindsey Beffa, Chao Tu, Michael J Rosen
BACKGROUND: Tension-free abdominal closure is a primary tenet of laparotomy. But this concept neglects the baseline tension of the abdominal wall. Ideally, abdominal closure should be tailored to restore native physiologic tension. We sought to quantify the tension needed to re-establish the linea alba in patients undergoing exploratory laparotomy. METHODS: Patients without ventral hernias undergoing laparotomy at a single institution were enrolled from December 2021 to September 2022...
December 2023: Surgical Endoscopy