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Correspondence |

Effect of Stitch Length on Wound Complications—Reply

Daniel Millbourn, MD; Yucel Cengiz, MD, PhD; Leif A. Israelsson, MD, PhD
Arch Surg. 2010;145(6):599-600. doi:10.1001/archsurg.2010.79.
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The aim of our clinical trial was to investigate if closure of midline incisions with an SL:WL ratio of at least 4 should be done with small or large tissue bites. The rate of both wound infection and incisional hernia was then lower with small tissue bites.1 Experimental findings of a higher tissue breaking strength with small tissue bites compared with large bites certainly offer an explanation for the lower rate of incisional hernia.2,3

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June 1, 2010
Joris J. Harlaar, MSc; Gabrielle H. van Ramshorst, MD; Hans Jeekel, MD, PhD; Johan F. Lange, MD, PhD
Arch Surg. 2010;145(6):599. doi:10.1001/archsurg.2010.78.
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