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The method of through-and-through abdominal wall closure for poor-risk wounds reported in 1953 has been re-evaluated after 18 more years of use. It has proved in our experience the only method entirely free of postclosure evisceration and has been uncomplicated by significant or chronic suppuration, skin cutting and resultant postoperative pain, or intestinal fistulization. Success appears attributable to mechanically secure approximation without strangulation, elimination of dead space in the wound, and minimization of foreign suture material in the line of approximation.

surgery

The figure-of-8 through-and-through monofilament abdominal wound closure with wound splints: elimination of evisceration in poor-risk wounds over 25 years.