Comparison of two suture techniques for fascial closure in median laparotomy in patients at high risk of postoperative evisceration

Background: Postsurgical evisceration is a complication, its origin is multifactorial. There are reports in the literature to prevent changing the closing technique. Reinforced tension line technique (RTL) has proven useful in the treatment of incisional hernias. Material and methods: Clinical trial in patients undergoing midline laparotomy first time, two groups were formed the control group was sutured with the principles of Jenkins and the experimental group with RTL technique. The presence of postoperative evisceration between the two groups and associated complications were evaluated. Results: Completed the study 89, a total of 9 (20 %) evisceration in the control group and 2 (4.5 %) occurred in the study group, with statistical significance in favor of the RTL technique with p 0.0273. Conclusion: It was found that the RTL technique reduces the incidence of postoperative evisceration (C) 2016 Sociedad Hispanoamericana de Hernia. Published by Elsevier Espana, S.L.U.