Abdominal Hernia Suturing Technique in Primary Abdominal Hernia: Spider Suture - An Experience on 74 Patients

Demirci-Aydin N, Grützmann R and Demir R

1Medical Care Center, MVZ PD Dr. Demir & Colleagues, Nürnberg, Germany 2Department of Surgery, University Hospital Erlangen, Erlangen, Germany

^*Correspondance to: Resit Demir 

 PDF  Full Text DOI: 10.25107/2474-1647.3654

Abstract

Background: The development of suturing techniques for the abdominal fascia appears to have concluded with two techniques - interrupted or continuous - as outlined by the European and American Hernia Society guidelines. The following study describes an additional suturing technique for closing the abdominal fascia using circular stitches, which seems to represents an improvement over existing technique. Materials and Methods: Between 2014 and 2020, we used the "spider suture technique" to repair umbilical- and epigastric hernias in 74 patients, who did not want a mesh, if it was needed regarding to the guidelines. In addition to a continuous suture, the spider suture involves multiple individual circular threads, which are woven through the ventral sheath of the Linea alba and knotted with themselves to create a new architecture of the Linea alba. This technique prevents the fascia from tearing due to poor quality of the fascia or increased repetitive pressure on it. Results: The median follow-up time was 30 months. There were no recurrences recorded. All patients reported good to very good satisfaction. Conclusion: In conclusion, the spider suture represents an effective new technique for closing the abdominal fascia following primary abdominal wall hernias. However, further prospective randomized clinical trials are required to determine the extent of its improvement over existing techniques.

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Cite the article

Demirci-Aydin N, Grützmann R, Demir R. Abdominal Hernia Suturing Technique in Primary Abdominal Hernia: Spider Suture - An Experience on 74 Patients. Clin Surg. 2023; 8: 3654..