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[Correspondence] Closure of abdominal midline incisions: STITCH trial

In the STITCH randomised controlled trial (Sept 26, p 1254),1 the rate of incisional hernia after midline abdominal closure was significantly lower in patients who had received sutures with small tissue bites than in those with sutures with large tissue bites. Eva Deerenberg and colleagues state that small bite running sutures should become the standard closure technique for midline incisions, but this statement might not be supported by solid evidence. Continuous sutures are not always better than interrupted sutures in terms of incisional hernia rates after midline abdominal closure.