Which suturing technique is preferred for closing abdominal fascia?

The preferred suturing technique for closing abdominal fascia is interrupted multifilament sutures. This method is favored because it provides stronger tensile strength and additional security compared to continuous sutures, especially in areas subjected to tension and movement, such as the abdominal wall.

Using interrupted sutures allows for precise placement and the ability to easily modify tension at each stitch, which helps in ensuring that the fascia is properly apposed without undue stress. If one stitch pulls through, it does not affect the integrity of the remaining sutures. The multifilament nature of the sutures promotes better knot security and can facilitate a more durable closure of the abdominal wall.

In contrast, while continuous monofilament sutures may offer ease of placement and reduced operating time, they can create higher tension points along the suture line that might increase the risk of dehiscence. Absorbable sutures can be useful in certain situations but may not provide adequate long-term support for the abdominal fascia, which often requires more durable closure material. Lastly, stapling is commonly used for quick closures and can be effective, but it may not allow the same level of tension adjustment and support that suturing provides in the context of abdominal fascia, where meticulous closure is essential for preventing complications