For the SAC technique a continuous loop 0-Maxon (Medtronic, UK) suture was used. As per NICE guidance, if the subcutaneous tissue layer is >2cm, we recommend closing the fascia with interrupted 2-0 Vicryl (Ethicon, UK).
A subcutaneous 3-0 Monocryl (Ethicon, UK) is used to suture the skin and then apply a layer of dermabond (Ethicon, UK), then the wound left uncovered.
If a midline laparotomy has been performed, SAC used a mass closure with a combination of continuous loop 0-Maxon (Medtronic, UK) sutures and intermittent interrupted sutures for additional strength.
The skin incision was then closed with monocryl and dermabond.
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