Abdominal closure

Transverse incision

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.

Vertical incision

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.