ArticleCureus2025
Effectiveness of Small Bites Closure in Reducing Incisional Hernia at Specimen Extraction Sites Following Minimally Invasive Colorectal Cancer Surgery.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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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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.
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Who cites it
1 citing paper in PubMed.
- Barbed continuous suture reduces the risk of specimen extraction site hernia in high-risk obese patients: a CT-based analysis.Surgical endoscopy · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION AND
aimsThis study compares the incidence of incisional hernia (IH) at extraction sites in minimally invasive colorectal cancer resections using the small bites closure technique versus mass closure.
methodsWe conducted a single-centre retrospective study at our UK hospital, including all adult patients who underwent laparoscopic or robotic colorectal cancer resections between 2018 and 2023. Patients were divided into two groups based on the closure technique: small bites and mass closure. The incidence of IH at the extraction site was confirmed either clinically or radiologically during routine follow-ups. Fisher's exact test was used to compare IH rates between the groups, with significance set at p<0.05.
resultsA total of 246 patients were included in the study, divided into small bites (n=112) and mass closure (n=134) groups, with a median age of 69 years (range 31-89). The overall incidence of IH was 13.4% (n=33). IH rates were significantly lower in the small bites group (5.3%; n=6) compared to the mass closure group (19.9%; n=27) (p=0.006). Midline extraction sites had a higher IH incidence (16.8%) compared to off-midline sites (1.8%) (p=0.003). Additionally, patients with a BMI ≥30 kg/m² had a higher IH incidence (24.2%) compared to those with a BMI <30 kg/m² (8.9%) (p=0.003). Conclusion
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