Small-Bites Closure in Emergency Laparotomy

Дата публикации: 01-09-2026 00:00:00

To the Editor The 13-year follow-up of the STITCH trial by van den Berg and colleagues provides evidence that small-bites fascial closure significantly reduces long-term incisional hernia rates after midline laparotomy. However, I am concerned that the Discussion section’s portrayal of the World Society of Emergency Surgery (WSES) guidelines as endorsing this technique for emergency settings is incomplete and may inadvertently encourage inappropriate extrapolation.

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