In surgeon's control |
Other factors |
Type of incision
Midline
Paramedian
Pfannenstiel
Maylard, etc
|
Postoperative inflammatory response to sutures, which may be suture‐specific. For example, studies have shown that synthetic absorbable materials tend to induce lower levels of inflammation compared to catgut (Nilsson 1983; Postlethwait 1975) |
Incision technique
2 scalpel (1 for skin and 1 for deeper tissue) versus single scalpel
Single stroked versus multiple stroked incision
Scalpel versus cautery using cutting current versus cautery using coagulation current versus carbon dioxide laser
|
Associated co‐morbid conditions
Advanced age of the patient
Nutritional status of the patient
Severe obesity
Diabetes
Malignancy
Jaundice
Abdominal distension
Chronic steroid therapy
Wound infections in the primary laparotomy
Smoking
Chronic obstructive pulmonary disease
|
Preoperative surgical preparation of incision site and pre‐operative antibiotics |
Nature of wound
Clean
Clean‐contaminated
Contaminated
|
Use of subcutaneous drains |
Neoadjuvant therapies
Chemotherapy
Radiation
Immunotherapy
|
Suture material
|
|
Suture technique
Mass versus layered closure
Continuous versus interrupted sutures
Suture length: wound length ratio
|
|