Multiple-layer wound closure after flank incision reduces morbidity: Study
Germany: Multiple-layer wound closure after flank incision minimizes morbidity and should be performed as a standard procedure, according to a recent study in the BJU International.
Open flank incision is a standard approach for performing variablee troperitoneal surgeries. It has proven its safety and efficacy, especially in renal andaortic surgery. However it can lead to long-term morbidity caused by paraesthesia, pain, and paralysis of the lateral abdominal wall muscle, resulting in prolonged neuralgia, flank bulge formation, or even a flank hernia.
Maximilian C. Kriegmair, University Hospital Manheim, Mannheim, Germany, and colleagues compared the incidence of postoperative flank bulges between patients with multiple‐layer closure and single superficial‐layer closure after retroperitoneal surgery performed open flank incision in the SIngle versus MUltiple‐LAyer wound Closure for flank incision (SIMULAC) -- a randomised controlled, patient‐ and assessor‐blinded, multicentre trial.
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