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Eligibility Criteria |
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| Inclusion criteria |
Exclusion criteria |
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| Age equal or greater than 18 years |
Peritonitis |
| Expected survival time more than 12 months |
Emergency surgery |
| Patients undergoing primary and elective midline laparotomy (patients with prior laparoscopy or abdominal operation via paramedian incision (e.g. appendectomy) may be included in the trial |
Coagulopathy (= A group of disorders of the blood clotting (coagulation) system in which bleeding is prolonged and excessive with abnormal values in the blood laboratory • Lack of compliance |
| BMI < 35 |
Severe psychiatric or neurologic disease |
| Expected length of skin incision > 15 cm |
Lack of informed consent |
| Participation in another intervention with interference of intervention and outcome of this trial |
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| Drug- and/or alcohol-abuse according to local standard |
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| Current immunosuppressive therapy (more than 40 mg of a corticoid per days or azathioprin |
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| Chemotherapy within two 2 before operation |
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| Radiotherapy of the abdomen completed less than 8 weeks before operation |
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| Inability to understand and to follow the instructions given by the investigator (e.g. insufficient command of language, dementia, lack of time) |
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| Pregnant or breast-feeding woman (according to information given by the patient) |
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| Patients who have been committed to an institution by virtue of an order issued either by the courts or by an authority |
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Fischer et al. BMC Surgery 2008 8:12 doi:10.1186/1471-2482-8-12 |
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