ArticleSurgical endoscopy2026
Continuous fascial closure using absorbable barbed sutures lowers the risk of incisional hernia after minimally invasive colorectal surgery: a consecutive single-surgeon retrospective cohort study.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Barbed Sutures Are Associated With a Lower Incidence of Incisional Hernia Compared With Continuous Non-Barbed Monofilament Sutures After Minimally Invasive Gastroenterological Surgery.Annals of gastroenterological surgery · 2026Article
- Clinical Outcomes and Recurrence Prevention in Laparoscopic Wells Rectopexy for Rectal Prolapse through Mesh Trimming and Fixation Techniques.Journal of the anus, rectum and colon · 2026Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundIncisional hernia (IH) at extraction sites remains a common late complication of minimally invasive colorectal surgery. Closure technique is a potentially modifiable factor; however, evidence comparing continuous and interrupted fascial closure in this setting is limited.
methodsWe conducted a retrospective single-center cohort study involving 397 patients who underwent laparoscopic or robotic colorectal cancer resection by a single surgeon between April 2019 and May 2025. Interrupted fascial closure was routinely performed until March 2022, after which continuous closure was exclusively performed. Primary outcome was 1-year incidence of IH, which was assessed using standardized abdominal computed tomography. Secondary outcomes included perioperative outcomes and postoperative complications.
resultsBaseline demographics and tumor characteristics were comparable between 213 and 184 patients in interrupted and continuous closure groups, respectively. Robot-assisted procedures were more common in the continuous group (37.0% vs. 13.6%, P < 0.001), whereas other perioperative factors were similar in both groups. At 1 year, the overall incidence of IH was 14.9%. Continuous closure was associated with a significantly lower IH rate than interrupted closure (10.9% vs. 18.3%, P = 0.047). Multivariate logistic regression identified body mass index of ≥ 25 kg/m
conclusionContinuous fascial closure using absorbable barbed sutures was associated with a significantly reduced incidence of IH, without increasing short-term morbidity. These findings suggest that closure technique may represent a modifiable determinant of IH risk and support continuous closure as a potentially preferable approach. However, prospective multicenter randomized controlled trials are warranted to validate these results and confirm their generalizability.
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