ArticleFrontiers in pediatrics2025
Mass closure vs. layer-by-layer closure of transverse laparotomy in children: a randomized trial with ultrasound and elastography outcomes.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
Background: transverse laparotomy incision presents a common and widely used one in infants and children. The fascial incision is either closed in one mass or layer-by-layer closure. Both methods nearly have the same outcomes. This study randomly compared the two main techniques of closure of the transverse laparotomy incision, regarding clinical, sonographic, and elastrographic changes. Methods: This trial included infants and children who were subjected to a transverse upper abdominal laparotomy incision. Patients whose muscle sheath complex defects were closed using the mass closure technique were allotted to Results: The age was 22.3 months and 22.5 months in Group Conclusion: Mass closure resulted in significantly higher stiffness and fatty infiltration of the muscle sheath complex compared to layer-by-layer closure, as shown by elastography and ultrasound. These biomechanical alterations may predispose to increased long-term risk of incisional hernia despite comparable short-term outcomes.
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