KQ3 What is the preferred strategy for closing a laparotomy?

Statement: In the available studies of acceptable quality, no superiority of one specific suture material or continuous versus interrupted technique could be shown. The combination of a continuous small-bites suturing technique with a slowly absorbable suture reduces the risk of incisional hernia.

Recommendation: A continuous small-bites suturing technique with a slowly absorbable suture is suggested for closure of elective midline incisions.

Quality of evidence: XX00 (low)

Strength of recommendation: Weak