Small bites technique improves postoperative outcomes in laparotomies

A systematic review and meta-analysis of seven randomized controlled trials involving 2,299 patients highlighted that the small bites technique for midline abdominal incision closure significantly reduced the incidence of ventral incisional hernia (RR: 0.46, p < 0.01) and surgical site infection (RR: 0.73, p < 0.01) compared to large bites. Additionally, patients experienced a shorter hospital stay (MD: -1.03 days, p < 0.01) without an increase in overall mortality rates, indicating superior postoperative recovery.