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Closure of the abdominal fascia

By Nikolaj Nerup, MD, PhD and Peter Olsen Svenningsen, MD 

The small steps technique should be used to close a midline abdominal laparotomy incision using continuous suturing with a slowly absorbable (polydioxanone) suture. A wound-suture length ratio of minimum 1:4 is well documented to be preferred in both elective and emergency surgery. 

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