RT Journal A1 Millbourn D, Cengiz Y, Israelsson LA T1 EFfect of stitch length on wound complications—reply JF Archives of Surgery JO Archives of Surgery YR 2010 FD June 1 VO 145 IS 6 SP 599 OP 600 DO 10.1001/archsurg.2010.79 UL http://dx.doi.org/10.1001/archsurg.2010.79 AB 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