5mm v 1-cm Fascial Closure at CS: MINI EPISODE

About this episode

This episode discusses the evidence surrounding fascial closure techniques in surgery, comparing 5mm and 1-cm suture bites.

Historically we were taught as surgeons that 1-centimeter bites that between suture throws on a Pfannenstiel (low transverse) fascial closure was enough to prevent hernia formation and optimize facial healing. But is this still evidence based? We can extrapolate data from a May 2026 systematic review/meta-anlysis as well as a separate study from the Dutch published in 2021. Both of these studies were in the journal Hernia. The evidence does favor one technique over the other! Listen in for details. 1. Golling M, Baumann P, Kuger F, Fortelny RH. Impact of the SUture BIte TEchnique on clinical outcomes after midline laparotomy closure: SUBITE-a systematic review and meta-analysis. Hernia. 2026 May 19;30(1):221. doi: 10.1007/s10029-026-03700-z. PMID: 42154339; PMCID: PMC13186860. 2. Paulsen CB, Zetner D, Rosenberg J. Variation in abdominal wall closure techniques in lower transverse incisions: a nationwide survey across specialties. Hernia. 2021 Apr;25(2):345-352. doi: 10.1007/s10029-020-02280-w. Epub 2020 Aug 8. PMID: 32770366.

People in this episode

Host: Hector Chapa

Topics covered

• surgical techniques
• fascial closure
• hernia prevention
• evidence-based medicine
• systematic review

Keywords

• fascial closure
• hernia formation
• suture bites
• surgical techniques
• systematic review
• evidence-based

Mentioned in this episode

Organizations: Hernia

Books & works: Impact of the SUture BIte TEchnique on clinical outcomes after midline laparotomy closure: SUBITE-a systematic review and meta-analysis, Variation in abdominal wall closure techniques in lower transverse incisions: a nationwide survey across specialties

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