SynthesisWorld journal of surgery2018
Meta-analysis on Materials and Techniques for Laparotomy Closure: The MATCH Review.
Synthesis in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective, Multi-Center, Single Arm, Feasibility Study Using REBUILD Bioabsorbable™ for Closure of the Abdominal Wall After Oncologic Laparotomy
Abdominal Wall Dehiscence After Laparotomy Closure in Abdominal Surgery: a Retrospective Observational Study on the Influence of the Suture Used
Prevention of Postoperative Hernias in Emergency Surgery
Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Impact of the SUture BIte TEchnique on clinical outcomes after midline laparotomy closure: SUBITE-a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Higher BMI increases risk of stoma-site incisional hernia and other complications following diverting loop ileostomy and reversal: a systematic review and meta-analysis.Surgical endoscopy · 2025Pooled it
- Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies.The British journal of surgery · 2022Pooled it
- Efficacy and safety of mesh closure in preventing wound failure following emergency laparotomy: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2022Pooled it
- 5-year clinical outcome of the ESTOIH trial comparing the short-bite versus large-bite technique for elective midline abdominal closure.Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Continuous versus interrupted abdominal wall closure after emergency midline laparotomy: CONTINT: a randomized controlled trial [NCT00544583].World journal of emergency surgery : WJES · 2023Trial
- [Differentiated concept for treatment of incisional hernias].Chirurgie (Heidelberg, Germany) · 2026Review
- Review
- Article
- Review
- Fragility of Randomized Clinical Trials Using Small Bite, Small Walk Versus Large Bite, Large Walk in Laparotomy Closure.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Slowly absorbable suture for fascial defect closure in open incisional hernia mesh-repair is associated with decreased long-term recurrence: a nationwide cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Small-bite versus conventional midline fascial closure in abdominal surgery: a prospective observational cohort study.BMC surgery · 2026Observational
- Colorectal and emergency surgical patients in the literature supporting EHS and AHS guidelines on abdominal wound closure: a granular analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Suture Techniques and Materials for Fascial Closure of Abdominal Wall Incisions: A Comprehensive Meta-Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Mass closure vs. layer-by-layer closure of transverse laparotomy in children: a randomized trial with ultrasound and elastography outcomes.Frontiers in pediatrics · 2025Article
- Wound complications in liver transplantation: effect of incision type and suture material.Proceedings (Baylor University. Medical Center) · 2025Article
- Prevention of Postoperative Hernias in Emergency Surgery - PROPHECY Trial.Journal of abdominal wall surgery : JAWS · 2025Article
- Biomechanical evaluation of prophylactic reinforcement of the linea alba with a novel method of positioning and fixation of polypropylene mesh, in an animal model.Acta cirurgica brasileira · 2025Article
- Does randomised evidence alter clinical practise? The react qualitative study.BMC health services research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this systematic review and meta-analysis was to evaluate closure materials and suture techniques for emergency and elective laparotomies. The primary outcome was incisional hernia after 12 months, and the secondary outcomes were burst abdomen and surgical site infection.
methodsA systematic literature search was conducted until September 2017. The quality of the RCTs was evaluated by at least 3 assessors using critical appraisal checklists. Meta-analyses were performed.
resultsA total of 23 RCTs were included in the meta-analysis. There was no evidence from RCTs using the same suture technique in both study arms that any suture material (fast-absorbable/slowly absorbable/non-absorbable) is superior in reducing incisional hernias. There is no evidence that continuous suturing is superior in reducing incisional hernias compared to interrupted suturing. When using a slowly absorbable suture for continuous suturing in elective midline closure, the small bites technique results in significantly less incisional hernias than a large bites technique (OR 0.41; 95% CI 0.19, 0.86).
conclusionsThere is no high-quality evidence available concerning the best suture material or technique to reduce incisional hernia rate when closing a laparotomy. When using a slowly absorbable suture and a continuous suturing technique with small tissue bites, the incisional hernia rate is significantly reduced compared with a large bites technique.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.