KQ1b Which incision should be used in patients undergoing abdominal surgery? Statement: Midline incisions have the highest rate of incisional hernia, including smaller incisions such as specimen extraction sites. There are limited data on surgical-site occurrence, pain, abdominal wall function or cosmesis. Recommendation: It is suggested to avoid a midline incision for laparotomies and specimen extraction sites to reduce the risk of incisional hernia. Quality of evidence: XX00 (low) Strength of recommendation: Weak